LUZERNE WYOMING COUNTY MH CENTER #1 (NPI# 1609997089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609997089 |
| Entity Type | Organization |
| Organization Name | LUZERNE WYOMING COUNTY MH CENTER #1 |
| Other Organization Name | COMMUNITY COUNSELING SERVICES OF NEPA |
| 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 | 5705526020 |
| Mailing Telephone | 5705523900 |
| Mailing Fax Number | 5705523907 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-09-12 |
| Authorized Official Name | JOSEPH H KNECHT (CEO) |
| Authorized Official Telephone | 5705523900 |
| Is Organization Subpart | Y |
| Parent Organization Name | LUZERNE WYOMING COUNTY MH CENTER #1 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100002080-0013 | 05 |
| Other Name | Type Code |
|---|---|
| Community Counseling Services of NEPA | 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 |
| 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 |
| 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 | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417183310 | Wilkes Barre Behavioral Hospital Company LLC | Public Health or Welfare | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2009-06-05 |
| 1245466143 | Wilkes Barre Behavioral Hospital Company LLC | Public Health or Welfare | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2009-06-05 |
| 1780705160 | Luzerne Wyoming County Mh Center #1 | Public Health or Welfare | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2007-04-03 |
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| 1801418306 | Gesiinger Medical Center | Public Health or Welfare | 15 Wesner Ln Fl 2, Danville, PA 17821-8023 | 2020-05-07 |
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| 1265085864 | Access Dentistry, LLC | Public Health or Welfare | 6760 Market St, Upper Darby, PA 19082-2449 | 2019-07-23 |
| 1982164323 | United Community Health Network LLC | Public Health or Welfare | 7804 Montgomery Ave Ste 6, Elkins Park, PA 19027-2649 | 2019-03-21 |
| 1962988618 | Ryan Vass | Public Health or Welfare | 904 Twyckenham Rd, Media, PA 19063-1636 | 2018-07-16 |
| 1902312275 | County of Allegheny | Public Health or Welfare | Department of Human Services Area Agency On Aging, 2100 Wharton Str., 2nd Floor, Pittsburgh, PA 15203-1942 | 2017-12-21 |
| 1679085443 | Warwick Family Based Program Inc | Public Health or Welfare | 1001 Nor Bath Blvd, Northampton, PA 18067-8909 | 2017-11-01 |
| 1013444033 | Loving Care Center, Inc | Public Health or Welfare | 1918 Paul St, Farrell, PA 16121-1324 | 2017-05-22 |
| Find all providers with the same taxonomy | ||||
| City | WILKES BARRE |
| Zip Code | 18701 |
Please comment or provide details below to improve the information on LUZERNE WYOMING COUNTY MH CENTER #1.
| 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.