Diakon Lutheran Social Ministries

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIAKON LUTHERAN SOCIAL MINISTRIES

Doing business as

Diakon Family Life Services

Practice address

960 Century Dr
Mechanicsburg, PA 17055-4374

Phone

(717) 795-0330

Fax

(717) 795-0407

NPI assigned

Jul 2, 2006

Last updated

Nov 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rita A. Rousseau

Title

Executive Director of Cos

Phone

(717) 795-0330

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Diakon Family Life Services Doing business as

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1134158132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W 4TH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016001",
            "telephone_number": "570-322-7873",
            "fax_number": "570-322-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CENTURY DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554374",
            "telephone_number": "717-795-0330",
            "fax_number": "717-795-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAKON LUTHERAN SOCIAL MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "ROUSSEAU",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF COS",
        "authorized_official_telephone_number": "717-795-0330"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD FEP - LCSW",
            "identifier": "1808012",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "301029",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD - MD/DO",
            "identifier": "716009",
            "state": "PW"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02319100",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007777400005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007777400042",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD - CRNP",
            "identifier": "1526223",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD - PSYCHOLO",
            "identifier": "1443618",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diakon Family Life Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diakon Child Family and Community Ministries (Diakon Behavioral Health Services)
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• Diakon Child, Family & Community Ministries (Diakon Family Life of the Capital Region SPIN)
• Diakon Child,Family&Community Ministries (Diakon Family Life Services)
• Diakon Family Life Services (Diakon Lutheran Social Ministries)
• Diakon Lutheran Social Ministries (Family Life Service)
• Diakon Lutheran Social Ministries (Diakon Family Life Services)
• Diakon Lutheran Social Ministries
• Diakon Social Luthern Ministries
• Dialysis Care Center Mechanicsburg LLC

• Community/Behavioral Health Agency in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.