Lotus Therapeutic & Empowerment Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LOTUS THERAPEUTIC & EMPOWERMENT SERVICES

Practice address

502 Church St
Moosic, PA 18507-1602

Phone

(570) 878-7757

NPI assigned

Jul 18, 2019

Organization subpart

No

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

Authorized official

Name

Jean Marie Decker, LCSW

Title

Licensed Clinical Social Worker

Phone

(570) 878-7757

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1053964007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 CHURCH ST",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071602",
            "telephone_number": "570-878-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 CHURCH ST",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071602",
            "telephone_number": "570-878-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS THERAPEUTIC & EMPOWERMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "570-878-7757",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030643090001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Girard Kuna, PSY.D.
• Jeannette Lasher, PA-C
• Alexander Lebiak III, DPT
• Andrew Lenway
• Devante Littlejohn
• Mark Lyons, DO
• Mary Ellen Lyons, PA
• Mia Maiolatesi, PA-C
• Satish Kumar Mallik, MD
• Faizmohamed M Mansuri, MD

• Clinic/Center in Moosic, PA
• Providers in Moosic, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.