Individual provider Active NPI

Mindy K Reed

  • Social Worker
  • Middleburg, PA
National Provider Identifier
1144357559
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW012980L Issued in PA
Practice address
50 W Market St
Middleburg, PA 17842-1019
Phone
(570) 837-2575
Fax
(570) 837-6033
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW012980L PA Primary

Addresses

Primary practice location

50 W Market St
Middleburg, PA 17842-1019

Mailing address

2019 N 2ND St
Harrisburg, PA 17102-2147
Phone (866) 829-1154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221221002796 PA Practitioner - Clinical Psychologist 8022488782 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW012980LPAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Counseling Services, PC CurrentSince Nov 22, 2022 Accepting new patients
Empowered Resilience Past Accepting new patients

Locations

300 Mulberry St
Ste 301
Scranton, PA 18503
Phone (570) 955-5459

300 Mulberry St
Ste 201
Scranton, PA 18503
Phone (570) 955-5479

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144357559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 N 2ND ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171022147",
            "telephone_number": "866-829-1154",
            "fax_number": "717-236-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W MARKET ST",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178421019",
            "telephone_number": "570-837-2575",
            "fax_number": "570-837-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "MINDY",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW012980L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, PA

Sources for this page

Verify at the official NPI Registry.