Organization Active NPI

Making a Difference Counseling Center

  • Clinical Social Worker
  • Mifflintown, PA
National Provider Identifier
1225776149
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MAKING A DIFFERENCE COUNSELING CENTER
Practice address
4265 William Penn Hwy # 1
Mifflintown, PA 17059-7338
Phone
(717) 363-1001
NPI assigned
May 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Melissa A Delancey, LCSWNPI 1992723787
Title
Business Owner
Phone
(717) 436-5353

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4265 William Penn Hwy # 1
Mifflintown, PA 17059-7338

Mailing address

4265 William Penn Hwy Ste 1
Mifflintown, PA 17059-7338
Phone (717) 436-5353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230731000391 PA Part B Supplier - Clinic/Group Practice 1456712074 Receives reassigned benefits from 1 practitioner
Practice locations: Mifflintown, PA

National Provider Directory

National Provider Directory

Locations

4265 William Penn Hwy
#1
Mifflintown, PA 17059
Phone (570) 772-5616

Practitioners & affiliated clinicians

Practitioners 3

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": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1225776149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 WILLIAM PENN HWY STE 1",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "170597338",
            "telephone_number": "717-436-5353",
            "fax_number": "717-921-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 WILLIAM PENN HWY # 1",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "170597338",
            "telephone_number": "717-363-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKING A DIFFERENCE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "DELANCEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "717-436-5353",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mifflintown, PA

Sources for this page

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