NPIMap

Organization Active NPI

Mainstreamcounseling

  • Addiction (Substance Use Disorder) Counselor
  • Huntingdon, PA
National Provider Identifier
1114372026
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
317013 Issued in PA
Legal business name
MAINSTREAMCOUNSELING
Practice address
900 Washington St
Huntingdon, PA 16652-1826
Phone
(814) 643-1114
Fax
(814) 643-5344
NPI assigned
Apr 28, 2016
Last updated
Apr 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Lonnie A Wagnerwoomer, LCSWNPI 1720189194
Title
Owner
Phone
(814) 643-1114

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 317013 PA Primary
Mental Health Counselor 101YM0800X 317013 PA
Clinical Social Worker 1041C0700X 317013 PA

Addresses

Primary practice location

900 Washington St
Huntingdon, PA 16652-1826

Mailing address

900 Washington St
Huntingdon, PA 16652-1826
Phone (814) 643-1114

National Provider Directory

National Provider Directory
Tax ID family
Mainstream Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 Washington St
Huntingdon, PA 16652
Phone (814) 643-1114

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1114372026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166521826",
            "telephone_number": "814-643-1114",
            "fax_number": "814-643-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166521826",
            "telephone_number": "814-643-1114",
            "fax_number": "814-643-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREAMCOUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "WAGNERWOOMER",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-643-1114",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "317013",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "317013",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "317013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.