Organization Active NPI

Alc Counseling

  • Clinical Social Worker
  • Homer City, PA
National Provider Identifier
1215629399
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ALC COUNSELING
Practice address
1670 Old US 119 Hwy S
Homer City, PA 15748-7408
Phone
(724) 422-9136
NPI assigned
May 25, 2023
Last updated
May 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
David M Page
Title
Credentialing
Phone
(724) 297-3045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1670 Old US 119 Hwy S
Homer City, PA 15748-7408

Mailing address

554 Georgetowne VLG
Indiana, PA 15701-2477
Phone (724) 422-9136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230721000579 PA Part B Supplier - Clinic/Group Practice 8123488137 Receives reassigned benefits from 1 practitioner
Practice locations: Homer City, PA

National Provider Directory

National Provider Directory

Locations

1670 Old US 119 Hwy S
Homer City, PA 15748
Phone (724) 422-9136

Practitioners & affiliated clinicians

Practitioners 2

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": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1215629399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 GEORGETOWNE VLG",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012477",
            "telephone_number": "724-422-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 OLD US 119 HWY S",
            "city": "HOMER CITY",
            "state": "PA",
            "postal_code": "157487408",
            "telephone_number": "724-422-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALC COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "724-297-3045"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.