LUZERNE WYOMING COUNTY MH CENTER #1 (NPI# 1609056530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609056530 |
| Entity Type | Organization |
| Organization Name | LUZERNE WYOMING COUNTY MH CENTER #1 |
| Other Organization Name | ADVANCED PSYCHOLOGICAL COUNSELING SERVICES |
| Practice Address |
562 Wyoming Ave Kingston PA 18704-3721 |
| Practice Telephone | 5705523900 |
| Practice Fax Number | 5705523907 |
| 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 | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Advanced Psychological 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 |
| 1255511176 | Luzerne Wyoming County Mh Center #1 | Psychologist | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2007-11-08 |
| 1609056522 | 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 |
562 WYOMING AVE |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683417 | David Liskov | Psychiatry & Neurology | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2005-07-15 |
| 1376186064 | Brent Smith | Registered Nurse | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2019-10-24 |
| 1275812661 | Roseanne P Pace | Counselor | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2011-08-16 |
| 1609172170 | Brittany Bahner | Counselor | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2011-02-01 |
| 1528368826 | Mary Repasky | Counselor | 562 Wyoming Ave, Choices Program of Wyoming Valley, Kingston, PA 18704 | 2010-11-02 |
| 1073842936 | Wilkes Barre Behavioral Hospital Company LLC | Registered Nurse | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-12-23 |
| 1285862409 | David Liskov, Md | Psychiatry & Neurology | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-06-25 |
| 1013144211 | Md.mushfiqur Rahman | Psychiatry & Neurology | 562 Wyoming Ave, First Hospital, Kingston, PA 18704-3721 | 2009-06-15 |
| 1114153921 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-06-08 |
| 1477789287 | Wilkes Barre Behavioral Hospital Company LLC | Case Management | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984268 | Julia Ann Forbes | Social Worker | 3 Schoolhouse Ln, Kingston, MA 02364-1861 | 2020-08-25 |
| 1295369668 | Kelly Mcglynn, LLC | Social Worker | 4446 Route 27 Ste 1, Kingston, NJ 08528-9613 | 2020-02-25 |
| 1235778283 | Carolyn Hovey Mcginnis | Social Worker | 480 Pierce St Ste 300, Kingston, PA 18704-5512 | 2019-12-22 |
| 1093350043 | Kate Napolitano | Social Worker | 275 Fair St Ste 17b, Kingston, NY 12401-3882 | 2019-11-14 |
| 1013492586 | Heidi Tompkins Conner | Social Worker | 46 Forge Rd, Kingston, MA 02364-1091 | 2018-09-30 |
| 1528542743 | Patricia Desiata | Social Worker | 33 Second Brook St, Kingston, MA 02364-2117 | 2018-09-24 |
| 1558845073 | Michelle Mcgann | Social Worker | 16 Hewitt Pl, Kingston, NY 12401-5349 | 2018-09-20 |
| 1164905964 | Sandra Louise Smith | Social Worker | 12 White Pine Ln, Kingston, MA 02364-1046 | 2018-09-08 |
| 1275016180 | Anna Lisa Seery | Social Worker | 1 Jones River Dr, Kingston, MA 02364-1519 | 2018-09-07 |
| 1407368004 | Mary Vandezande | Social Worker | 77 Cornell St, Kingston, NY 12401-3648 | 2017-11-04 |
| Find all providers in KINGSTON | ||||
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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.