Luzerne Wyoming Co MHC#1

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

CW014765 Issued in PA

Legal business name

LUZERNE WYOMING CO MHC#1

Doing business as

Choices a Division of Behavioral Health Services of Wyoming Valley

Practice address

562 Wyoming Ave
Kingston, PA 18704-3721

Phone

(570) 552-3700

NPI assigned

Apr 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Edith Martin, MSW,ACSW,LCSW,CCDPNPI 1275654642

Title

Director of All Choices Programs

Phone

(570) 552-3700

Specialties & licenses 1

Addresses

Other names 1

• CHOICES A DIVISION OF BEHAVIORAL HEALTH SERVICES OF WYOMING VALLEY Doing business as

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.

• Mary E Martin, LCSW

  • Clinical Social Worker
  • Wapwallopen, PA
  • NPI 1275654642
  Authorized official Same address or phone

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275654956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 282C",
            "city": "WAPWALLOPEN",
            "state": "PA",
            "postal_code": "186609771",
            "telephone_number": "570-417-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043721",
            "telephone_number": "570-552-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZERNE WYOMING CO MHC#1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "EDITH",
        "authorized_official_title_or_position": "DIRECTOR OF ALL CHOICES PROGRAMS",
        "authorized_official_telephone_number": "570-552-3700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW,ACSW,LCSW,CCDP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "CW014765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOICES A DIVISION OF BEHAVIORAL HEALTH SERVICES OF WYOMING VALLEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel J Lutz, M.D.
• Tatum Adette Lutz, DMD
• Luzerne County Psychiatry (Sunshine family psychiatry)
• Luzerne Intermediate Unit #18
• Luzerne Iu
• Luzerne Wyoming County Mental Health Center #1 (Community Counseling Svcs MRDD Transp)
• Luzerne Wyoming County Mental Health Center #1 (Community Counseling Services)
• Luzerne Wyoming County Mental Health Center #1 (Behavioral Health Services of Wyoming Valley)
• Luzerne Wyoming County Mental Health Center 1 (First Hospital Wyoming Valley)
• Luzerne Wyoming County MH Center #1 (Advanced Psychological Counseling Services)

• Substance Use Disorder Rehabilitation Clinic/Center in Kingston, PA
• Providers in Kingston, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.