Chestnut Ridge Counseling Services Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Uniontown, PA
NPI 1063489482 · NPPES record last updated May 12, 2021
Key facts
- NPI
- 1063489482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- CHESTNUT RIDGE COUNSELING SERVICES INC
- Practice address
- 100 New Salem Rd
Suite 116
Uniontown, PA 15401-8936 - Phone
- (724) 437-0729
- Fax
- (724) 437-2761
- NPI assigned
- Mar 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael Quinn
- Title
- Ceo
- Phone
- (724) 437-0729
Practitioners 59
-
Cynthia Sue Artis, LCSW
-
Lenora A. Borucki, CRNP
-
Margaret Mary Casteel, MS,CRC
-
Mary Jo Friend, LCSW
-
Lisa A Harenski, LCSW
-
Stacey Jo Hayward, PMHNP-BC
-
Purushothama Iyengar, M.D.
-
David Kieta, CRNP
-
Melissa Kimbro, LPC
-
Ronald Patrick Lobo, M.D.
-
Regina Moore, MSW
-
Misty Dawn Newton, CRNP
-
Kylie Morgan Pilot, LPC
-
Heather Irene Richards, MS, NCC
-
Mary Vail, BSW
-
Mary Jane Wildman, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040218000334 | PA | Part B Supplier - Clinic/Group Practice | 1254226376 |
Receives reassigned benefits from 36 practitioners Practice locations: Connellsville, PA; Uniontown, PA; Smithfield, PA; Lemont Furnace, PA |
National Provider Directory
Locations
1051 Morrell Ave
Connellsville, PA 15425
Phone (724) 427-0729
766 E Pittsburgh St
Ste 202
Greensburg, PA 15601
Phone (724) 600-0729
1321 Connellsville Rd
Lemont Furnace, PA 15456
1 Glendale St
McKeesport, PA 15133
100 New Salem Rd
Ste 116
Uniontown, PA 15401
Interoperability endpoints
- mailbox@crcsi.credible2.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Registered Nurse |
163W00000X | |||
| Licensed Practical Nurse |
164W00000X | |||
| Psychiatry Physician |
2084P0800X | |||
| Child & Adolescent Psychiatry Physician |
2084P0804X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
100 New Salem Rd
Suite 116
Uniontown, PA 15401-8936
Mailing address
100 New Salem Rd
Suite 116
Uniontown, PA 15401-8936
Phone (724) 437-0729
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100772109 | Medicaid | PA | |
| 00548066 | Medicaid | PA | |
| 389744 | Other | PA | HIGHMARK |
| CH389744 | Other | PA | MAGELLAN |
| 328835 | Other | PA | VALUE OPTIONS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mailbox@CRCSI.credible2.direct-ci.com | Direct |
Other providers in Uniontown, PA
- Cherry Tree Medical Associates Physical Therapy
- Cherry Tree Optical Inc
- Cherry Tree Pain Clinic PC
- Cherry Tree Pediatrics, PC
- Cherry Tree Podiatry LLC
- Chestnut Ridge Counseling Services, Inc
- Chandra Beth Chiado
- Padmaja Chilakapati
- Children'S Community Care
- Kathryn Chiplaskey
All providers in Uniontown, PA · Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.