LUZERNE WYOMING COUNTY MH CENTER #1 (NPI# 1255511176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255511176 |
| Entity Type | Organization |
| Organization Name | LUZERNE WYOMING COUNTY MH CENTER #1 |
| Other Organization Name | COMMUNITY COUNSELING SERVICES |
| Practice Address |
110 S Pennsylvania Ave Wilkes Barre PA 18701-3301 |
| Mailing Address |
562 Wyoming Ave Kingston PA 18704-3721 |
| Practice Telephone | 5705526000 |
| Practice Fax Number | 5705526021 |
| Mailing Telephone | 5705523900 |
| Mailing Fax Number | 5705523907 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | JOSEPH H KNECHT (CEO) |
| Authorized Official Telephone | 5705523977 |
| Is Organization Subpart | Y |
| Parent Organization Name | LUZERNE WYOMING COUNTY MH CENTER #1 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Community Counseling Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568583474 | Luzerne Wyoming County Mh Center #1 | Clinic/Center | R 307 Laird Street, Wilkes-barre, PA 18702 | 2007-04-02 |
| 1700066628 | Luzerne Wyoming County Mh Center #1 | Psychologist | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2007-11-08 |
| 1518147438 | Luzerne Wyoming County Mh Center #1 | Psychiatry & Neurology | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2007-11-08 |
| 1609056522 | Luzerne Wyoming County Mh Center #1 | Social Worker | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2007-11-08 |
| 1609056530 | Luzerne Wyoming County Mh Center #1 | Social Worker | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2007-11-08 |
| 1013197953 | Luzerne Wyoming County Mh Center #1 | Psychiatry & Neurology | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2007-11-08 |
| 1558541441 | Luzerne Wyoming County Mh Center #1 | Social Worker | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2007-11-07 |
| 1699896076 | Luzerne Wyoming County Mh Center #1 | Case Management | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2007-04-03 |
| 1609997089 | Luzerne Wyoming County Mh Center #1 | Public Health or Welfare | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2007-04-03 |
| 1326169707 | Luzerne Wyoming County Mh Center #1 | Case Management | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2007-04-03 |
| Street Address |
110 S PENNSYLVANIA AVE |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18701-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821043779 | Mary E Mazaleski | Physician Assistant | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2006-05-22 |
| 1346713716 | Kami Leigh Nestler | Nurse Practitioner | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2019-01-08 |
| 1073082665 | Samantha Mary Steinbrenner | Nurse Practitioner | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2018-11-13 |
| 1194228593 | Matthew J Harden | Social Worker | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2018-03-12 |
| 1700316510 | Jerry M Wright | Counselor | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2017-06-14 |
| 1578005013 | Brissa D Rodgers | Social Worker | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2016-11-15 |
| 1730531393 | Jean Schappert | Counselor | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2016-07-07 |
| 1649647355 | Lois Elick | Registered Nurse | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2015-08-28 |
| 1730586306 | Kerry Zellner | Marriage & Family Therapist | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2014-11-26 |
| 1518363811 | Audra Gould | Physician Assistant | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2014-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878836 | Moriah M Teed | Pharmacist | 115 East Northampton St, Wilkes-barre, PA 18701 | 2020-10-12 |
| 1275164055 | Paul Thomas Stanziale | Social Worker | Children's Service Center, 335 S. Franklin St., Wilkes-barre, PA 18701 | 2020-01-30 |
| 1790211175 | Erik David Robertson | Physical Therapist | 4011 Green Pond Road, Bethlhem, PA 18701 | 2017-05-04 |
| 1063895431 | Jennifer L Schell | Nurse Practitioner | 60 Public Sq, Wilkes Barre, PA 18701 | 2015-07-03 |
| 1184051617 | Vincent L. Carolan | Counselor | 67-69 Public Square, Suite 917, Wilkes-barre, PA 18701 | 2013-09-30 |
| 1538592696 | Courtenay Jayne Mcdonough | Nurse Practitioner | 50 Pennsylvania Blvd, Wilkes-barre, PA 18701 | 2013-08-13 |
| 1043656721 | Barbara Lynnette Hoffman | Nurse Practitioner | 110 S. Pennsylvania Ave, Wilkes-barre, PA 18701 | 2013-05-21 |
| 1518232768 | Sharon Anita Wander | Pediatrics | 47 S Washington Street, Wilkes-barre, PA 18701 | 2012-03-20 |
| 1245564780 | Judith Ann Schrepfer | Occupational Therapist | 1 East Street, Bloomsburg, PA 18701 | 2009-10-01 |
| 1841497658 | Nancy M Rodgers | Counselor | 33 East Northhampton St., Wilkes Barre, PA 18701 | 2007-06-27 |
| Find all providers in zip 18701 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336228741 | Sheila F Mooney | Psychologist | 65 N Washington St, Wilkes Barre, PA 18701-3100 | 2006-11-04 |
| 1740839687 | Steven Joseph Craig | Psychologist | 8 Church St, Wilkes Barre, PA 18702-3542 | 2019-09-04 |
| 1053816132 | Amanda Ferriola Murphy | Psychologist | 166 Hanover St, Wilkes Barre, PA 18702-3549 | 2018-03-29 |
| 1225498132 | Brittany Williams | Psychologist | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2016-03-04 |
| 1639413271 | Lauren Lane-herman | Psychologist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2012-11-20 |
| 1073702379 | Dale Todd Hazlak | Psychologist | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2007-10-23 |
| 1437208527 | David M. Fischi | Psychologist | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2007-01-09 |
| 1942247119 | Kevin Paul Creegan | Psychologist | 1111 East End Blvd, Department of Veterans Affairs Medical Center, Wilkes Barre, PA 18701 | 2006-05-31 |
| 1528040235 | James W Truscott | Psychologist | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578937 | Margaret Edwards | Psychologist | 110 S 20th St Ste 206, Philadelphia, PA 19103-4486 | 2020-11-03 |
| 1699374843 | Elizabeth Ann Johnson | Psychologist | 3640 Stanton St Apt 107, Philadelphia, PA 19129-1683 | 2020-10-20 |
| 1689272577 | Katherine Piselli | Psychologist | 3401 Market St Ofc 3216, Philadelphia, PA 19104-3318 | 2020-10-13 |
| 1033717202 | Batsirai Bvunzawabaya | Psychologist | 306 Shelbourne Rd, Havertown, PA 19083-3019 | 2020-10-11 |
| 1124635891 | Dylan Alexander Corp | Psychologist | 303 Farmstead Ln Apt 16, State College, PA 16803-2519 | 2020-09-28 |
| 1184231995 | Dorothy Cashore | Psychologist | 907 West St Rm 214, Pittsburgh, PA 15221-2838 | 2020-09-25 |
| 1134734213 | Heejin Kim | Psychologist | 138 Montrose Ave Unit 13, Bryn Mawr, PA 19010-1559 | 2020-09-15 |
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1518576925 | Ll Mulhollem Counseling and Psychotherapy, LLC | Psychologist | 751 E High St, Elizabethtown, PA 17022-1714 | 2020-07-31 |
| 1750990263 | Pattey Fong Psychology Associates | Psychologist | 1062 E Lancaster Ave Ste 25, Bryn Mawr, PA 19010-1567 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | WILKES BARRE |
| Zip Code | 18701 |
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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.