NPIMap

Organization Active NPI

Positive Perceptions Counseling and Support Services, Inc

  • Social Worker
  • East Stroudsburg, PA
National Provider Identifier
1184849457
Registry record updated Mar 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
POSITIVE PERCEPTIONS COUNSELING AND SUPPORT SERVICES, INC
Practice address
529 Seven Bridge Rd Unit 105
East Stroudsburg, PA 18301-7608
Phone
(570) 424-1768
Fax
(888) 314-5032
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2023

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

Authorized official

Name
Nichelle Renee Jones, LCSWNPI 1003945700
Title
Licensed Clinical Social Worker
Phone
(570) 839-4011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW015018 PA

Addresses

Primary practice location

529 Seven Bridge Rd Unit 105
East Stroudsburg, PA 18301-7608

Mailing address

387 Lake Rd
Tobyhanna, PA 18466-8038
Phone (570) 839-4011

Other identifiers 2

IdentifierTypeStateIssuer
1031161560002MedicaidPA
101401517 0003MedicaidPA

National Provider Directory

National Provider Directory

Locations

529 Seven Bridge Rd
Unit 105
East Stroudsburg, PA 18301
Phone (570) 424-1768

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679788800000",
    "number": "1184849457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 LAKE RD",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668038",
            "telephone_number": "570-839-4011",
            "fax_number": "888-862-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 SEVEN BRIDGE RD UNIT 105",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017608",
            "telephone_number": "570-424-1768",
            "fax_number": "888-314-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE PERCEPTIONS COUNSELING AND SUPPORT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "NICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "570-839-4011",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015018",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031161560002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101401517 0003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; 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.