CLEARFIELD-JEFFERSON CMHC (NPI# 1649391087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649391087 |
| Entity Type | Organization |
| Organization Name | CLEARFIELD-JEFFERSON CMHC |
| Practice Address |
103 N Gilpin St Punxsutawney PA 15767-2055 |
| Practice Telephone | 8143711100 |
| Practice Fax Number | 8143750120 |
| Mailing Telephone | 8143711100 |
| Mailing Fax Number | 8143750120 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KAREN H FORSHA (BILLING SUPERVISOR) |
| Authorized Official Telephone | 8143711100 |
| Authorized Official Credential | B.S. EDUCATION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
436040 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIMARK | 124074 | 01 |
| PA | 1007627390042 | 05 |
| 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 |
| 1548381981 | Clearfield-jefferson Cmhc | Community/Behavioral Health | 100 Caldwell Dr, Du Bois, PA 15801-1152 | 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 |
| Street Address |
103 N GILPIN ST |
| City | PUNXSUTAWNEY |
| State | PA |
| Zip Code | 15767-2055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754765 | Bearing Hope LLC | Counselor | 103 N Gilpin Street, Suite 314, Punxsutawney, PA 15767 | 2020-03-04 |
| 1679947378 | George Carlson | Health Maintenance Organization | 6068 Route 119, Punxsutawney, PA 15767 | 2015-11-18 |
| 1104211515 | Danielle Marie Nelson | Counselor | 200 Prushnok Drive Suite #103, Punxsutawney, PA 15767 | 2015-04-02 |
| 1124413539 | Amanda Marie Rowland | Counselor | 200 Prushnok Drive, Suite #103, Punxsutawney, PA 15767 | 2015-04-02 |
| 1821492083 | Collin Ross Nordby | Counselor | 200 Prushnok Drive, Suite 103, Punxsutawney, PA 15767 | 2014-10-17 |
| 1245545813 | Maureen Murphy Ginsburg | Physical Medicine & Rehabilitation | 551 W Mahoning St, Punxsutawney, PA 15767 | 2010-08-08 |
| 1932384138 | Donald M. Pallone | Nurse Practitioner | 531 North Main Street, Punxsutawney, PA 15767 | 2008-01-07 |
| 1952521106 | Anita Irene Baker | Physical Therapist | 217 Mcgee Lane, Punxsutawney, PA 15767 | 2007-04-30 |
| 1639290091 | Community Guidance Center | Clinic/Center | 200 Prushnok Drive - Lever Street, Suite 103, Punxsutawney, PA 15767 | 2007-04-03 |
| 1487602983 | Mulberry Square Elder Care and Rehabilitation Center LLC | Skilled Nursing Facility | 411 1/2 West Mahoning Street, Punxsutawney, PA 15767 | 2006-05-05 |
| Find all providers in zip 15767 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639290091 | Community Guidance Center | Clinic/Center | 200 Prushnok Drive - Lever Street, Suite 103, Punxsutawney, PA 15767 | 2007-04-03 |
| 1669558391 | Punxsutawney Area Hospital Inc | Clinic/Center | 81 Hillcrest Dr, Punxsutawney, PA 15767-2605 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437092 | Northeast Counseling Service | Clinic/Center | 109 W Green St, Nanticoke, PA 18634-2212 | 2020-11-06 |
| 1356949663 | Christina Robidoux, Lpc | Clinic/Center | 321 Pine St Ste 207-208, Williamsport, PA 17701-6561 | 2020-10-09 |
| 1447857800 | Simple Healing LLC | Clinic/Center | 11 W 2nd St Unit 305, Bethlehem, PA 18015-1294 | 2020-10-07 |
| 1629683693 | Sunshine Counseling, LLC | Clinic/Center | 1093 Douglass Dr Apt A, Boyertown, PA 19512-7620 | 2020-09-15 |
| 1619582533 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 749 South St, Laporte, PA 18626-7019 | 2020-09-09 |
| 1023623956 | Sunshine Healing & Counseling | Clinic/Center | 328 Summit Ave Ste 120, Jenkintown, PA 19046-3134 | 2020-09-08 |
| 1376153940 | Nami Erie County Pa | Clinic/Center | 1611 Peach St Ste 218, Erie, PA 16501-2121 | 2020-08-07 |
| 1376161919 | Bryan Bass-riley Licensed Professional Counselor, LLC | Clinic/Center | 3825 Northern Pike Ste 202, Monroeville, PA 15146-2161 | 2020-07-09 |
| 1053937664 | Theosis Therapeutic Counseling | Clinic/Center | 982 E Pine St, Palmyra, PA 17078-2821 | 2020-06-19 |
| 1366065633 | Let's Talk Counseling, LLC | Clinic/Center | 510 Springfield Rd, Aldan, PA 19018-4227 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | PUNXSUTAWNEY |
| Zip Code | 15767 |
Please comment or provide details below to improve the information on CLEARFIELD-JEFFERSON CMHC.
| 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.