Organization Active NPI

Northeast Counseling Associates, Inc.

  • Clinical Social Worker
  • Honesdale, PA
National Provider Identifier
1124187364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012650 Issued in PA
Legal business name
NORTHEAST COUNSELING ASSOCIATES, INC.
Practice address
403A Spinner Rd
Honesdale, PA 18431-7634
Phone
(570) 253-9323
Fax
(570) 253-6050
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia A Walsh, LCSW
Title
Director
Phone
(570) 253-9323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW012650 PA Primary

Addresses

Primary practice location

403A Spinner Rd
Honesdale, PA 18431-7634

Mailing address

403A Spinner Rd
Honesdale, PA 18431-7634
Phone (570) 253-9323

Other identifiers 1

IdentifierTypeStateIssuer
0018862000006MedicaidPA

National Provider Directory

National Provider Directory

Locations

403A Spinner Rd
Honesdale, PA 18431
Phone (570) 253-1339

3305 Lake Ariel Hwy
#B
Honesdale, PA 18431
Phone (570) 253-9323

Practitioners & affiliated clinicians

Practitioners 1

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124187364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403A SPINNER RD",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184317634",
            "telephone_number": "570-253-9323",
            "fax_number": "570-253-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403A SPINNER RD",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184317634",
            "telephone_number": "570-253-9323",
            "fax_number": "570-253-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST COUNSELING ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "570-253-9323",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018862000006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.