2ND Chance Counseling Service LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

2ND CHANCE COUNSELING SERVICE LLC

Practice address

204 Rainbow Dr
Livingston, TX 77399-2004

Phone

(570) 691-6347

Fax

(570) 691-6347

NPI assigned

Aug 8, 2017

Organization subpart

No

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

Authorized official

Name

Megan A Schimpf-Peterson, CACNPI 1851816581

Title

Executive Director

Phone

(570) 691-6347

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Aileen Schimpf-Peterson, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Livingston, TX
  • NPI 1851816581
  NPD (past) Authorized official

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1144745332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SULLIVAN TRL # 126",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180408333",
            "telephone_number": "570-212-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 RAINBOW DR",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773992004",
            "telephone_number": "570-691-6347",
            "fax_number": "570-691-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND CHANCE COUNSELING SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "SCHIMPF-PETERSON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-691-6347",
        "authorized_official_credential": "CAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Livingston, TX
• Providers in Livingston, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.