CLEARFIELD-JEFFERSON CMHC


Address: 100 Caldwell Dr, Du Bois, PA 15801-1152
Phone: 8143711100

CLEARFIELD-JEFFERSON CMHC (NPI# 1548381981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548381981
Entity Type Organization
Organization Name CLEARFIELD-JEFFERSON CMHC
Practice Address 100 Caldwell Dr
Du Bois
PA 15801-1152
Practice Telephone 8143711100
Practice Fax Number 8143713671
Mailing Telephone 8143711100
Mailing Fax Number 8143713671
Enumeration Date 2007-04-03
Last Update Date 2020-08-22
Authorized Official Name KAREN H FORSHA (BILLING SUPRVISOR)
Authorized Official Telephone 8143711100
Authorized Official Credential B. S. EDUCATION
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 413980 PA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
PA 1007627390030 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578684981 Clearfield-jefferson Cmhc Community/Behavioral Health 264 Wilson St, Wallaceton, PA 16876 2007-04-03
1447371893 Clearfield-jefferson Cmhc Community/Behavioral Health 425 Orient Ave, Du Bois, PA 15801-3219 2007-04-03
1649391087 Clearfield-jefferson Cmhc Clinic/Center 103 N Gilpin St, Punxsutawney, PA 15767-2055 2007-04-03
1558482992 Clearfield-jefferson Cmhc Clinic/Center 501 E Market St, Clearfield, PA 16830-2468 2007-04-03
1427170380 Clearfield-jefferson Cmhc Clinic/Center 404 Liberty Blvd, Du Bois, PA 15801-2436 2007-04-04
1336261296 Clearfield-jefferson Cmhc Clinic/Center 635 Maple Ave, Du Bois, PA 15801-2376 2007-04-04

Office Location

Street Address 100 CALDWELL DR
City DU BOIS
State PA
Zip Code 15801-1152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497253488 Melissa Terwilliger Counselor 100 Caldwell Dr, Du Bois, PA 15801-1152 2018-01-25
1023568250 Tara Leigh Collins Counselor 100 Caldwell Dr, Du Bois, PA 15801-1152 2016-10-12
1518310887 Ashley Marie Orcutt Counselor 100 Caldwell Dr, Du Bois, PA 15801-1152 2016-07-21
1003265125 Letasha Anne Tedrow Counselor 100 Caldwell Dr, Du Bois, PA 15801-1152 2016-06-09
1912362807 Brenda Lee Mcgarvey Counselor 100 Caldwell Dr, Du Bois, PA 15801-1152 2015-12-21
1215327879 Community Guidance Center Community/Behavioral Health 100 Caldwell Dr, Du Bois, PA 15801-1152 2015-02-03
1962839928 Beth Rogers Counselor 100 Caldwell Dr, Du Bois, PA 15801-1152 2013-10-04
1952738668 Kristi Vandervort Counselor 100 Caldwell Dr, Du Bois, PA 15801-1152 2013-09-27
1982038907 Mark E Pleiss Counselor 100 Caldwell Dr, Du Bois, PA 15801-1152 2013-08-27
1750715058 Julie A Himes Counselor 100 Caldwell Dr, Du Bois, PA 15801-1152 2013-08-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215551452 Grace Polohonki Counselor 490 Jefers Street, Dubois, PA 15801 2020-06-03
1144869231 Richard Lee Kerstetter II Hearing Instrument Specialist 124 San Juan Rd, Du Bois, PA 15801 2020-01-06
1700368487 Holly Noel Knoll Counselor 490 Jeffers Street, Dubois, PA 15801 2018-08-30
1992298160 Dubois Regional Medical Center Family Medicine 145 Hospital Ave Ste 315, Du Bois, PA 15801 2018-06-12
1154814846 Sara Beth Stone Dietitian, Registered 16288 Treasure Lk, Du Bois, PA 15801 2018-06-07
1942790779 Wendi Dawn Wenzel Counselor 490 Jeffers St., Dubois, PA 15801 2018-05-17
1144748443 Nancy Foradora Massage Therapist 200 Narrows Creek Park Road, Dubois, PA 15801 2017-09-07
1679098891 Deborah Jean Mitchell Hearing Instrument Specialist 900 Beaver Drive, Dubois, PA 15801 2017-08-09
1861937757 Shaun M Kanouff Counselor 100 Caldwell Dr., Dubois, PA 15801 2016-12-30
1164897740 Drayer Physical Therapy Institute LLC Physical Therapist 873 Beaver Drive, Dubois, PA 15801 2015-12-08
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407062425 Community County Services, Inc. Community/Behavioral Health 83 Beaver Dr Ste C, Meadow Plaza II, Du Bois, PA 15801-2435 2007-05-15
1447371893 Clearfield-jefferson Cmhc Community/Behavioral Health 425 Orient Ave, Du Bois, PA 15801-3219 2007-04-03
1629617121 Center for Community Resources, Inc. Community/Behavioral Health 2910 Oklahoma Salem Rd, Du Bois, PA 15801-5832 2019-12-31
1215327879 Community Guidance Center Community/Behavioral Health 100 Caldwell Dr, Du Bois, PA 15801-1152 2015-02-03
1942690508 Community Guidance Center Community/Behavioral Health 490 Jeffers St, Du Bois, PA 15801-2438 2015-02-03
1326476581 Community Guidance Center Community/Behavioral Health 490 Jeffers St, Du Bois, PA 15801-2438 2013-10-28
1477980290 Community Guidance Center Community/Behavioral Health 490 Jeffers St, Du Bois, PA 15801-2438 2013-10-11
1265760557 Personal Habilitation Services LLC Community/Behavioral Health 150 W Dubois Ave, Ste G, Du Bois, PA 15801-3000 2009-11-24

Providers in the same taxonomy and state

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
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Competitor

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City DU BOIS
Zip Code 15801

Improve Information

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Dataset Information

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.

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