NPIMap

Organization Active NPI

Twin Lakes Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Somerset, PA
National Provider Identifier
1235458472
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
561089 Issued in PA
Legal business name
TWIN LAKES CENTER, INC.
Practice address
224 Twin Lake Rd
Somerset, PA 15501-7727
Phone
(814) 443-3639
NPI assigned
May 27, 2010
Last updated
Jul 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Authorized official

Name
Ms. Brooke McKenzie, LCSWNPI 1699947358
Title
Executive Director
Phone
(814) 443-3639

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
Substance Abuse Rehabilitation Facility 324500000X 561089 PA Primary

Addresses

Primary practice location

224 Twin Lake Rd
Somerset, PA 15501-7727

Mailing address

224 Twin Lake Rd
PO Box 909
Somerset, PA 15501-7727
Phone (814) 443-3639

National Provider Directory

National Provider Directory
Tax ID family
Twin Lakes Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

  • Twin Lakes Center Inc

    dba UPMC Behavioral Health Services at Twin Lakes

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Somerset, PA
    • NPI 1629702550
    NPD tax ID
  • Twin Lakes Center Inc

    dba UPMC Behavioral Health Services at Twin Lakes

    • Substance Use Disorder Rehabilitation Clinic/Center
    • Somerset, PA
    • NPI 1881669612
    NPD tax ID

Locations

224 Twin Lake Rd
Somerset, PA 15501
Phone (814) 443-3639

Practitioners & affiliated clinicians

Practitioners 1

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": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501113600000",
    "number": "1235458472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 TWIN LAKE RD",
            "address_2": "PO BOX 909",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155017727",
            "telephone_number": "814-443-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 TWIN LAKE RD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155017727",
            "telephone_number": "814-443-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN LAKES CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2017-07-27",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-443-3639",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "561089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.