Organization Active NPI

T.W. Ponessa & Associates Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Lancaster, PA
National Provider Identifier
1053341859
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
311720 Issued in PA
Legal business name
T.W. PONESSA & ASSOCIATES COUNSELING SERVICES, INC.
Practice address
410 N. Prince Street
Lancaster, PA 17603-3010
Phone
(717) 560-7917
Fax
(717) 560-6452
NPI assigned
Jul 4, 2006
Last updated
May 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cathy A Deguire, MS, JD, MBA
Title
Ceo
Phone
(717) 560-7917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 311720 PA Primary

Addresses

Primary practice location

410 N. Prince Street
Lancaster, PA 17603-3010

Mailing address

410 N. Prince Street
Lancaster, PA 17603-3010
Phone (717) 560-7917

Other identifiers 1

IdentifierTypeStateIssuer
1007759330035MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071004000024 PA Part B Supplier - Clinic/Group Practice 7810991924 Receives reassigned benefits from 40 practitioners
7 other NPIs on this enrollment
Practice locations: Harrisburg, PA; Lancaster, PA; Lebanon, PA; York, PA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

390 Waterloo Blvd
Ste 120
Exton, PA 19341
Phone (610) 363-5500

8 N Queen St
Ste M2
Lancaster, PA 17603
Phone (717) 392-4322

701 Cumberland St
Ste 212
Lebanon, PA 17042
Phone (717) 273-5992

160 Roosevelt Ave
York, PA 17401
Phone (717) 845-2425

239 W Philadelphia St
York, PA 17401
Phone (717) 845-2425

Practitioners & affiliated clinicians

Practitioners 93

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 93

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1053341859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N. PRINCE STREET",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033010",
            "telephone_number": "717-560-7917",
            "fax_number": "717-560-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N. PRINCE STREET",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033010",
            "telephone_number": "717-560-7917",
            "fax_number": "717-560-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.W. PONESSA & ASSOCIATES COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "DEGUIRE",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-560-7917",
        "authorized_official_credential": "MS, JD, MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "311720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007759330035",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.