NPIMap

Organization Active NPI

Luzerne Intermediate Unit #18

  • Community/Behavioral Health Agency
  • Kingston, PA
National Provider Identifier
1164557716
Registry record updated Aug 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
217190 Issued in PA
Legal business name
LUZERNE INTERMEDIATE UNIT #18
Practice address
368 Tioga Ave
Kingston, PA 18704-5117
Phone
(570) 718-4669
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2007

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

Authorized official

Name
Mrs. Jennifer Lynn Runquist, LPCNPI 1922639947
Title
Director of Behavioral Health
Phone
(570) 825-3928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 217190 PA Primary

Addresses

Primary practice location

368 Tioga Ave
Kingston, PA 18704-5117

Mailing address

368 Tioga Ave
Kingston, PA 18704-5117
Phone (570) 718-4669

Other identifiers 1

IdentifierTypeStateIssuer
1000036690008MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Luzerne Intermediate Unit 182 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

368 Tioga Ave
Kingston, PA 18704
Phone (570) 287-9681

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1164557716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 TIOGA AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045117",
            "telephone_number": "570-718-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 TIOGA AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045117",
            "telephone_number": "570-718-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZERNE INTERMEDIATE UNIT #18",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "RUNQUIST",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "570-825-3928",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "217190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000036690008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.