MRS. LUISA TIESO (NPI# 1144743873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144743873 |
Entity Type | Individual |
Full Name | MRS. LUISA TIESO |
Practice Address |
6167 Somers Terr Tobyhanna PA 18466 |
Mailing Address |
6167 Somers Ter Tobyhanna PA 18466-3227 |
Practice Telephone | (862) 432-0980 |
Mailing Telephone | 8624320980 |
Enumeration Date | 2017-07-25 |
Last Update Date | 2017-07-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
Y | 251S00000X | Community/Behavioral Health | BH003283 | PA | Agencies |
Street Address |
6167 SOMERS TERR |
City | TOBYHANNA |
State | PA |
Zip Code | 18466 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932718061 | Katelyn Mckillop | Physician Assistant | 5074 Seneca Way, Tobyhanna, PA 18466 | 2020-07-24 |
1508330663 | Devereux Foundation | Day Training, Developmentally Disabled Services | 11 Carriage Square, Tobyhanna, PA 18466 | 2019-01-11 |
1982087797 | Patricia Detrick | Physical Therapy Assistant | 100 Communtiy Drive, Suite 105, Tobyhanna, PA 18466 | 2015-06-30 |
1376959569 | Mountain Valley Orthopedics PC | Pharmacy | 100 Community Drive Stuite 210, Tobyhanna, PA 18466 | 2014-07-08 |
1346674975 | Michelle Backus | Social Worker | 633 Lakeside Drive, Tobyhanna, PA 18466 | 2013-08-30 |
1205107067 | Sharon and Cynthia | Home Health | 9249 Westwood Dr, Tobyhanna, PA 18466 | 2012-01-25 |
1689942260 | Family Care Centers, Inc. | Internal Medicine | 100 Community Drive, Suite 102, Tobyhanna, PA 18466 | 2011-12-09 |
1942599063 | Diane Latosek | Pharmacist | 12 Carriage Square, Tobyhanna, PA 18466 | 2011-03-29 |
1588763841 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 11 Hap Amold Blvd, Tobyhanna, PA 18466 | 2006-09-22 |
1467080846 | Katherine Moore | Social Worker | 1151 Pocono Blvd, Coolbaugh, PA 18466 | 2020-03-31 |
Find all providers in zip 18466 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730325689 | New Alternative Human Services | Community/Behavioral Health | 633b Lakeside Dr, Tobyhanna, PA 18466-9792 | 2008-12-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306447115 | Forward Plan LLC | Community/Behavioral Health | 900 Macfarlane Dr, Pittsburgh, PA 15235-4230 | 2020-11-06 |
1821699240 | Eternal Renewal, LLC | Community/Behavioral Health | 501 N Charlotte St Fl 2, Pottstown, PA 19464-4602 | 2020-11-03 |
1417557174 | Kensington Hospital Non Hospital Short Term/long Term Rehab | Community/Behavioral Health | 136 W. Diamond St, Philadelphia, PA 19122-1721 | 2020-10-30 |
1699373415 | Maternity Care Coalition | Community/Behavioral Health | 401 Dekalb St, Norristown, PA 19401-4909 | 2020-10-14 |
1558969741 | Centerville Clinics Inc | Community/Behavioral Health | Centerville Clinics-intensive Behavioral Health Service, 37 Highland Avenue, Washington, PA 15301-4062 | 2020-10-12 |
1023624202 | Allied Health Care Services | Community/Behavioral Health | 1124 Scott St, Wilkes Barre, PA 18705-3737 | 2020-09-22 |
1518573708 | Mental Health Solution | Community/Behavioral Health | 2671 Darlington Rd, Beaver Falls, PA 15010-1280 | 2020-09-22 |
1629684584 | Peace & Clarity Counseling LLC | Community/Behavioral Health | 1 E Broad St Ste 130-1096, Bethlehem, PA 18018-5913 | 2020-09-16 |
1548874746 | Room 2 Grow, LLC | Community/Behavioral Health | 7500 Brooktree Rd Ste 201, Wexford, PA 15090-9285 | 2020-09-04 |
1134733819 | Keeping It Real Counseling, LLC | Community/Behavioral Health | 2937 Route 611 Unit 9a, Tannersville, PA 18372-6000 | 2020-09-01 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.