NPIMap

Organization Active NPI

Connections Counseling Services, LLC

  • Clinical Social Worker
  • Stroudsburg, PA
National Provider Identifier
1225454481
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017824 Issued in PA
Legal business name
CONNECTIONS COUNSELING SERVICES, LLC
Practice address
1300 N 5TH St
Suite 102
Stroudsburg, PA 18360-2602
Phone
(570) 424-5100
NPI assigned
Mar 12, 2014
Last updated
Mar 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Kristen Anne Marsar-Perez, LCSWNPI 1417382920
Title
Owner/Clinician
Phone
(570) 424-5100

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
Clinical Social Worker 1041C0700X CW017824 PA Primary

Addresses

Primary practice location

1300 N 5TH St
Suite 102
Stroudsburg, PA 18360-2602

Mailing address

1300 N 5TH St
Suite 102
Stroudsburg, PA 18360-2602
Phone (570) 424-5100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150507000141 PA Part B Supplier - Clinic/Group Practice 8022337435 Receives reassigned benefits from 5 practitioners
Practice locations: Marshalls Creek, PA; Stroudsburg, PA

National Provider Directory

National Provider Directory

Locations

1300 N 5th St
Ste 102
Stroudsburg, PA 18360
Phone (570) 424-5100

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1225454481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 5TH ST",
            "address_2": "SUITE 102",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602602",
            "telephone_number": "570-424-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 5TH ST",
            "address_2": "SUITE 102",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602602",
            "telephone_number": "570-424-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "MARSAR-PEREZ",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "570-424-5100",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.