Organization Active NPI

Abilities Behavioral Health

  • Counselor
  • Warrior Run, PA
National Provider Identifier
1225441520
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
ABILITIES BEHAVIORAL HEALTH
Practice address
357 Slope St
Warrior Run, PA 18706
Phone
(773) 317-4452
NPI assigned
Jun 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Rebecca Race, MANPI 1205242005
Title
Executive Director
Phone
(773) 317-4452

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary
NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133N00000X
Developmentally Disabled Services Day Training Agency 251C00000X

Addresses

Primary practice location

357 Slope St
Warrior Run, PA 18706

Mailing address

357 Slope St
Warrior Run, PA 18706-1903
Phone (773) 317-4452

Other practice location 1

63 W Ridge St
Nanticoke, PA 18634-2714
Phone (773) 317-4452

Other practice location 2

63 W Ridge St
Nanticoke, PA 18634-2714
Phone (773) 317-4452

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1225441520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 SLOPE ST",
            "city": "WARRIOR RUN",
            "state": "PA",
            "postal_code": "187061903",
            "telephone_number": "773-317-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 SLOPE ST",
            "city": "WARRIOR RUN",
            "state": "PA",
            "postal_code": "18706",
            "telephone_number": "773-317-4452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 W Ridge St",
            "address_purpose": "LOCATION",
            "city": "Nanticoke",
            "state": "PA",
            "postal_code": "186342714",
            "country_code": "US",
            "telephone_number": "773-317-4452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 W Ridge St",
            "address_purpose": "LOCATION",
            "city": "Nanticoke",
            "state": "PA",
            "postal_code": "186342714",
            "country_code": "US",
            "telephone_number": "773-317-4452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABILITIES BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "RACE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-317-4452",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrior Run, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.