NPIMap

Organization Active NPI

Carbon Lehigh Intermediate #21

  • Community/Behavioral Health Agency
  • Lehighton, PA
National Provider Identifier
1205050945
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CARBON LEHIGH INTERMEDIATE #21
Practice address
770 State Rd
Lehighton, PA 18235-2857
Phone
(610) 769-4111
Fax
(610) 769-1168
NPI assigned
Apr 12, 2007
Last updated
Feb 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Mr. Mark Scott, PSY DNPI 1669927232
Title
Director
Phone
(610) 769-4111

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 1

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

Addresses

Primary practice location

770 State Rd
Lehighton, PA 18235-2857

Mailing address

4210 Independence Drive
Schnecksville, PA 18078-2580
Phone (610) 769-4111

Other identifiers 1

IdentifierTypeStateIssuer
100773170-0020MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Carbon Lehigh Intermediate 2136 organizations share this tax ID, including this one

Other organizations with this tax ID 35

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

View all 35

Practitioners & affiliated clinicians

Practitioners 3

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1205050945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 INDEPENDENCE DRIVE",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782580",
            "telephone_number": "610-769-4111",
            "fax_number": "610-769-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 STATE RD",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352857",
            "telephone_number": "610-769-4111",
            "fax_number": "610-769-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON LEHIGH INTERMEDIATE #21",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-769-4111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100773170-0020",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.