Children'S Service Center of Wyoming Valley Inc
A Medicare group practice based in Wilkes Barre, PA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1052567617), with 51 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1052567617
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- PA
- Enrollments
- 3
- Group size
- 32 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 7
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20170609001473 | PA | Part B Supplier - Clinic/Group Practice | 1700861242 |
| O20260319000499 | PA | Part A Provider - Federally Qualified Health Center (FQHC) | 1689527392 |
| O20250723001645 | PA | Part A Provider - Federally Qualified Health Center (FQHC) | 1710617857 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Children'S Service Center of Wyoming Valley Inc
- Federally Qualified Health Center (FQHC)
- Wilkes Barre, PA
- NPI 1689527392
-
Children'S Service Center of Wyoming Valley, Inc
- Counselor
- Wilkes Barre, PA
- NPI 1700861242
-
Children'S Service Center of Wyoming Valley, Inc
- Federally Qualified Health Center (FQHC)
- Wilkes Barre, PA
- NPI 1710617857
-
Children'S Service Center of Wyoming Valley, Inc
- Occupational Therapist
- Wilkes Barre, PA
- NPI 1649060955
Practice locations
- Wilkes Barre, PA5
- Honesdale, PA1
- Tunkhannock, PA1
Clinicians 51
Clinicians who reassign their Medicare benefits to this group (51) or whom Care Compare lists as members (32).
-
Ibrahim M Almeky, MD
- Internal Medicine Physician
- Kingston, PA
- NPI 1750477139
-
Danielle Lee Antonini, MSW/LSW
- Clinical Social Worker
- Wilkes Barre, PA
- NPI 1083388508
-
Evan Baier
- Clinical Social Worker
- Wilkes Barre, PA
- NPI 1134671589
-
Alyssa Bufano, LPC
- Professional Counselor
- Wilkes Barre, PA
- NPI 1265974570
-
Vincent L. Carolan, LCSW, LPC
- Clinical Social Worker
- Dallas, PA
- NPI 1184051617
-
Kathryn Connor, LPC
- Professional Counselor
- Tunkhannock, PA
- NPI 1619846938
-
Kayla Corbett, LPC, NCC
- Professional Counselor
- Wilkes Barre, PA
- NPI 1396371647
-
Glorymardy Cruz, FNP-BC
- Family Nurse Practitioner
- Kingston, PA
- NPI 1124786041
-
Becky Jo Demarest, MS
- Mental Health Counselor
- Fairmont, WV
- NPI 1346010006
-
John Thomas Evers Jr., CRNP
- Family Nurse Practitioner
- Wilkes Barre, PA
- NPI 1720526536
-
Elizabeth Anne Farina, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Kingston, PA
- NPI 1639980949
-
Heather Dolly Gavin, CRNP
- Family Nurse Practitioner
- Wilkes Barre, PA
- NPI 1356981195
-
Jacqueline A Gillern, CRNP-APMH
- Psychiatric/Mental Health Nurse Practitioner
- Waymart, PA
- NPI 1063982759
-
Fallon Rose Gorski, MS OTR/L
- Occupational Therapist
- Wilkes Barre, PA
- NPI 1649758467
-
John Philip Greenbaum, LCSW
- Clinical Social Worker
- Wilkes Barre, PA
- NPI 1366464117
-
Amanda Kathryn Gwiazdowski, LPC
- Professional Counselor
- Hazleton, PA
- NPI 1518679117
-
Stacey Engler Ishley, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Wilkes Barre, PA
- NPI 1255712956
-
Laura Jane Jacoby, LPC
- Professional Counselor
- Wilkes Barre, PA
- NPI 1417243437
-
Mushtaq Jameel, M.D.
- Psychiatry Physician
- Chambersburg, PA
- NPI 1487605176
-
Theresa Johnson, LPC
- Professional Counselor
- Wilkes Barre, PA
- NPI 1023805793
-
Nicole Marie Kaskiel, LPC
- Professional Counselor
- Wilkes Barre, PA
- NPI 1225834427
-
Muhammad Akram Khan, M.D.
- Psychiatry Physician
- Wilkes Barre, PA
- NPI 1356377428
-
Jennifer Lynn Kottler
- Psychiatric/Mental Health Nurse Practitioner
- Hunlock Creek, PA
- NPI 1740975366
-
Jill Christine Laibinis, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Wilkes Barre, PA
- NPI 1689397754
-
Briana A Lennon, LPC
- Professional Counselor
- White Haven, PA
- NPI 1851146799
-
D'Andra Marie Lindbuchler
- Psychiatric/Mental Health Nurse Practitioner
- Wilkes Barre, PA
- NPI 1740664028
-
Jennifer Lutsey, LSW
- Clinical Social Worker
- Wilkes Barre, PA
- NPI 1417655317
-
Katrina Lee Madonia, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Wilkes Barre, PA
- NPI 1851197834
-
Gregory Stephen Michael, PSYD
- Clinical Psychologist
- Wilkes Barre, PA
- NPI 1134382476
-
Jessica K Natividad, CRNP-FH
- Family Nurse Practitioner
- Kingston, PA
- NPI 1477402998
-
Jessica Neare, DNP, FNP-C
- Family Nurse Practitioner
- Wilkes Barre, PA
- NPI 1619628484
-
Jamie L Padula, LPC
- Professional Counselor
- Wilkes Barre, PA
- NPI 1063192011
-
Sylena Jane Parham, CRNP
- Family Nurse Practitioner
- Wilkes Barre, PA
- NPI 1700411949
-
Brianna Pasterchik, LSW
- Clinical Social Worker
- Wilkes Barre, PA
- NPI 1235862020
-
Jean Pettinato, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Wilkes Barre, PA
- NPI 1265202378
-
MD.Mushfiqur Rahman, M.D.
- Psychiatry Physician
- Wilkes Barre, PA
- NPI 1013144211
-
Amanda Marie Reidenbach, NCC, LPC
- Professional Counselor
- Wilkes Barre, PA
- NPI 1962281378
-
Amanda Leah Rodriguez Rogers
- Professional Counselor
- Hunlock Creek, PA
- NPI 1104606847
-
Heather Tiffany Rosa I, CRNP
- Family Nurse Practitioner
- Kingston, PA
- NPI 1356906598
-
Dylan Sebring, MA
- Professional Counselor
- Wilkes Barre, PA
- NPI 1194484899
-
Brianna Smith, LCSW
- Professional Counselor
- Wilkes Barre, PA
- NPI 1346020187
-
Pareshkumar C Solgama, MD
- Psychiatry Physician
- Wilkes Barre, PA
- NPI 1417973876
-
Mary Sooy, PSY.D.
- Clinical Child & Adolescent Psychologist
- Wilkes Barre, PA
- NPI 1326471657
-
Jordyn Thompson, MS, NCC, CAADC, LPC
- Professional Counselor
- Wilkes Barre, PA
- NPI 1215584875
-
Brenda Miller Tocket, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Kingston, PA
- NPI 1154908663
-
Vanessa Tocket, LPC
- Mental Health Counselor
- Wilkes Barre, PA
- NPI 1578387171
-
Nicol Tomassacci, LPC
- Mental Health Counselor
- Wilkes Barre, PA
- NPI 1659205995
-
Desiree M Vanderlick, LPC
- Professional Counselor
- Hazleton, PA
- NPI 1639967227
-
Gordon Bruce Wilson, LCSW
- Mental Health Counselor
- Kingston, PA
- NPI 1477793271
-
Carissa Zackus, RN
- Family Nurse Practitioner
- Wilkes Barre, PA
- NPI 1578430302
-
Rebecca Zebley, LPC
- Mental Health Counselor
- Wilkes Barre, PA
- NPI 1497310130
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.