NPIMap

Organization Active NPI

Community Guidance Center

  • Community/Behavioral Health Agency
  • Punxsutawney, PA
National Provider Identifier
1053589341
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
421240 Issued in PA
Legal business name
COMMUNITY GUIDANCE CENTER
Practice address
200 Prushnok Dr
Suite 103
Punxsutawney, PA 15767-2343
Phone
(814) 938-4444
Fax
(814) 938-3313
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Darrin J Mikula
Title
Cfo
Phone
(724) 465-5576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 421240 PA Primary

Addresses

Primary practice location

200 Prushnok Dr
Suite 103
Punxsutawney, PA 15767-2343

Mailing address

793 Old Route 119 Highway North
Indiana, PA 15701
Phone (724) 465-5576

Other identifiers 1

IdentifierTypeStateIssuer
1000033280042MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Community Guidance Center33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1053589341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 OLD ROUTE 119 HIGHWAY NORTH",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "15701",
            "telephone_number": "724-465-5576",
            "fax_number": "724-465-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PRUSHNOK DR",
            "address_2": "SUITE 103",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672343",
            "telephone_number": "814-938-4444",
            "fax_number": "814-938-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY GUIDANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "MIKULA",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-465-5576"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "421240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000033280042",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.