Organization Active NPI

Northeast Counseling Services

  • Community/Behavioral Health Agency
  • Hazle Township, PA
National Provider Identifier
1235507492
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1007615710065 Issued in PA
Legal business name
NORTHEAST COUNSELING SERVICES
Practice address
1700 W 22ND St
Hazle Township, PA 18202-1535
Phone
(570) 735-7590
NPI assigned
Sep 4, 2015
Last updated
Sep 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Fran Emershaw
Title
C.E.O
Phone
(570) 735-7590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1007615710065 PA Primary

Addresses

Primary practice location

1700 W 22ND St
Hazle Township, PA 18202-1535

Mailing address

121 S Prospect St
Nanticoke, PA 18634-2456
Phone (570) 735-7590

Other identifiers 1

IdentifierTypeStateIssuer
1007615710065MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Northeast Counseling Services53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1700 W 22nd St
Hazle Township, PA 18202

121 S Prospect St
Nanticoke, PA 18634
Phone 5704556385 ext. 255

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1235507492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S PROSPECT ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186342456",
            "telephone_number": "570-735-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W 22ND ST",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021535",
            "telephone_number": "570-735-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "EMERSHAW",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "570-735-7590"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "1007615710065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710065",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazle Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.