NPIMap

Organization Active NPI

Colonial Intermediate Unit #20

  • Adolescent and Children Mental Health Clinic/Center
  • Tobyhanna, PA
National Provider Identifier
1114814019
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
COLONIAL INTERMEDIATE UNIT #20
Practice address
780 Memorial Blvd
Tobyhanna, PA 18466-7788
Phone
(610) 515-6439
Fax
(484) 291-4135
NPI assigned
Jun 23, 2025
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Dr. Christopher S Wolfel, DR ED
Title
Executive Director
Phone
(610) 252-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

780 Memorial Blvd
Tobyhanna, PA 18466-7788

Mailing address

6 Danforth Dr
Easton, PA 18045-7820
Phone (610) 515-6439

Other identifiers 1

IdentifierTypeStateIssuer
100754460MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Colonial Intermediate Unit 2044 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Locations

780 Memorial Blvd
Tobyhanna, PA 18466

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1114814019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DANFORTH DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180457820",
            "telephone_number": "610-515-6439",
            "fax_number": "484-291-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 MEMORIAL BLVD",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184667788",
            "telephone_number": "610-515-6439",
            "fax_number": "484-291-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL INTERMEDIATE UNIT #20",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "WOLFEL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-252-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR ED"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100754460",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tobyhanna, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.