Active NPI
Rock Creek Counseling & Wellness Center
- Clinical Social Worker
- Mercer, PA
National Provider Identifier
1073021317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ROCK CREEK COUNSELING & WELLNESS CENTER
- Practice address
- 60B Franklin Rd
Mercer, PA 16137-5118 - Phone
- (724) 269-7222
- NPI assigned
- Jan 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Doyle, LCSW
- Title
- Owner
- Phone
- (724) 269-7222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PA | ||
| Clinical Social Worker | 1041C0700X | PA | Primary |
Addresses
Primary practice location
60B Franklin Rd
Mercer, PA 16137-5118
Mailing address
60B Franklin Rd
Mercer, PA 16137-5118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190211000487 | PA | Part B Supplier - Clinic/Group Practice | 4284972688 |
Receives reassigned benefits from 4 practitioners Practice locations: Jackson Center, PA |
National Provider Directory
National Provider DirectoryLocations
19 McQuiston Dr
Jackson Center, PA 16133
Phone (724) 269-7222
60 Franklin Rd
Mercer, PA 16137
60B Franklin Rd
Mercer, PA 16137
Phone (724) 269-7222
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548892800000",
"number": "1073021317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60B FRANKLIN RD",
"city": "MERCER",
"state": "PA",
"postal_code": "161375118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60B FRANKLIN RD",
"city": "MERCER",
"state": "PA",
"postal_code": "161375118",
"telephone_number": "724-269-7222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCK CREEK COUNSELING & WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-22",
"last_updated": "2019-01-31",
"status": "A",
"authorized_official_last_name": "DOYLE",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "724-269-7222",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mercer, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.