Foundations Christian Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FOUNDATIONS CHRISTIAN COUNSELING SERVICES

Practice address

1546 Route 209
Brodheadsville, PA 18322-7142

Phone

(570) 402-5088

NPI assigned

Jul 11, 2016

Organization subpart

No

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

Authorized official

Name

Fred Jacoby, MA

Title

Executive Director

Phone

(570) 402-5088

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janet Lanton

  • Professional Counselor
  • Dallas, PA
  • NPI 1902615552
  NPD

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1053763359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 ROUTE 209",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227142",
            "telephone_number": "570-402-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 ROUTE 209",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227142",
            "telephone_number": "570-402-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS CHRISTIAN COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-402-5088",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Erlsten
• Dwight Daniel Evans, MA, M.DIV., LPC
• Extract Labs & Diagnostics
• Alison Lorraine Fennell, MA LPC
• Finding Peace in the Poconos LLC
• Frank Gary Romascavage DO
• Michael S. Frigiola, D.C.
• G & a Enterprises PC
• Caitlin Gaffney, CRNP
• Samantha Gambler, PA-C

• Community/Behavioral Health Agency in Brodheadsville, PA
• Providers in Brodheadsville, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.