NPIMap

Organization Active NPI

Northeast Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nanticoke, PA
National Provider Identifier
1073653531
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1007615710042 Issued in PA
Legal business name
NORTHEAST COUNSELING SERVICES
Practice address
121 S Prospect St
Nanticoke, PA 18634-2456
Phone
(570) 735-7590
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Mr. Francis Emershaw Jr.
Title
Exec Director
Phone
(570) 455-6385

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1007615710042 PA Primary
Adult Mental Health Clinic/Center 261QM0850X 1007615710063 PA
Adult Mental Health Clinic/Center 261QM0850X 1007615710016 PA

Addresses

Primary practice location

121 S Prospect St
Nanticoke, PA 18634-2456

Mailing address

750 E Broad St
Hazleton, PA 18201-6835
Phone (570) 455-6385

Other identifiers 2

IdentifierTypeStateIssuer
1007615710067MedicaidPA
1007615710042MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Northeast Counseling Services53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1073653531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "570-455-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S PROSPECT ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186342456",
            "telephone_number": "570-735-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "EMERSHAW",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "570-455-6385",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "1007615710042",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "1007615710063",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "1007615710016",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710067",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710042",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanticoke, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.