ERICA BANICKY (NPI# 1508181652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508181652 |
| Entity Type | Individual |
| Full Name | ERICA BANICKY |
| Credential | BA |
| Practice Address |
Rear 307 Laird St Choices Recovery Program Wilkes Barre PA 18702 |
| Mailing Address |
Rear 307 Laird Street Choices Program of Wyoming Valley Wilkes Barre PA 18702 |
| Practice Telephone | 5704089320 |
| Practice Fax Number | 5704089324 |
| Mailing Telephone | 5704089320 |
| Mailing Fax Number | 5704089324 |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
REAR 307 LAIRD ST CHOICES RECOVERY PROGRAM |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153161 | Joann Bonn | Pharmacist | 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 | 2020-10-30 |
| 1689213167 | Megan Grace Zanghi | Pharmacist | 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 | 2019-12-31 |
| 1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
| 1528520186 | Adam Olivetti | Pharmacist | 58-60 Public Square, Wilkes-barre, PA 18702 | 2019-04-03 |
| 1295220648 | Dental Associates of Nepa PC | Dentist | 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 | 2018-06-28 |
| 1568983245 | Bio-medical Applications of Pennsylavania, Inc. | Clinic/Center | 309 Laird St, Wilkes-barre, PA 18702 | 2017-07-03 |
| 1538615166 | Elsa Gates | Nurse Practitioner | 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 | 2016-09-01 |
| 1972990455 | Epeople Health Care Inc. | Home Health | 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 | 2015-04-22 |
| 1063819001 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 | 2014-11-19 |
| 1356764013 | Jill Stacchiotti | Speech-Language Pathologist | 2 Salem Drive, Laflin, PA 18702 | 2014-01-30 |
| Find all providers in zip 18702 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730672981 | Kate Shaughnessy | Counselor | 125 N Wilkes Barre Blvd Ste 4, Wilkes Barre, PA 18702-5354 | 2018-06-12 |
| 1790095545 | Jennifer Smith | Counselor | Rear 307 Laird Street, Choices Program of Wyoming Valley, Wilkes Barre, PA 18702 | 2010-10-14 |
| 1841497658 | Nancy M Rodgers | Counselor | 33 East Northhampton St., Wilkes Barre, PA 18701 | 2007-06-27 |
| 1669568770 | Wyoming Valley Alcohol and Drug Services Inc | Counselor | 437 North Main St., Wilkes Barre, PA 18705 | 2006-10-05 |
| 1780228965 | Rebecca Albert | Counselor | 33 E Northampton St, Wilkes Barre, PA 18701-2406 | 2019-10-31 |
| 1760953970 | Shaliyah Jones | Counselor | 33 E Northampton St, Wilkes Barre, PA 18701-2406 | 2018-12-16 |
| 1710458914 | Elizabeth A Jenkins | Counselor | 33 E Northampton St, Wilkes Barre, PA 18701-2406 | 2018-12-16 |
| 1205302122 | Jessy Miller | Counselor | 335 S Franklin St, Wilkes Barre, PA 18702-3808 | 2018-10-18 |
| 1225503956 | Eric Alan Pollick Jr. | Counselor | 335 S Franklin St, Wilkes Barre, PA 18702-3808 | 2018-10-09 |
| 1043704083 | Matthew Karl Shoener | Counselor | 125 N Wilkes Barre Blvd Ste 4, Wilkes Barre, PA 18702-5354 | 2018-06-21 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18702 |
Please comment or provide details below to improve the information on ERICA BANICKY.
| 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.