Active NPI
John Enderle
- Social Worker
- York, PA
National Provider Identifier
1265197586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1195 Roosevelt Ave
York, PA 17404-2350 - Phone
- (717) 843-0800
- NPI assigned
- Nov 2, 2021
- Last updated
- Nov 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
1195 Roosevelt Ave
York, PA 17404-2350
Mailing address
625 W Elm Ave
Hanover, PA 17331-5125
Phone (717) 632-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truenorth Wellness Services | Current | Accepting new patients | |
| Truenorth Wellness Services | Current | Accepting new patients | |
| Resilient Paths Counseling, LLC | Current | Accepting new patients | |
| Truenorth Wellness Services | Current | Accepting new patients |
Locations
625 W Elm Ave
Hanover, PA 17331
1195 Roosevelt Ave
York, PA 17404
Phone (717) 843-0800
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Hanover, PA
- NPI 1912013509
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- York, PA
- NPI 1588440325
-
- Community/Behavioral Health Agency
- Hanover, PA
- NPI 1447443049
-
- Community/Behavioral Health Agency
- Hanover, PA
- NPI 1528251121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1265197586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 W ELM AVE",
"city": "HANOVER",
"state": "PA",
"postal_code": "173315125",
"telephone_number": "717-632-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1195 ROOSEVELT AVE",
"city": "YORK",
"state": "PA",
"postal_code": "174042350",
"telephone_number": "717-843-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDERLE",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-02",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
- Empowerme Medical Group, PC
- Empowerment Emergency Shelter & Resource Center
- Ada-Nkem Angela Emuwa, M.D., M.P.H.
- Encompass Health Rehabilitation Hospital of York, LLC (Encompass Health Rehabilitation Hospital of York)
- Bruk Endale, MD
- Engagement LLC
- Jeanne Fabian Engel, D.O.
- Wynnona Engle-Pratt, NP
- Rickey Engle
- Robert Paul Englert, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.