NPIMap

Organization Active NPI

Wyoming Valley Alcohol and Drug Services Inc

  • Addiction (Substance Use Disorder) Counselor
  • Kingston, PA
National Provider Identifier
1275981573
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
407063 Issued in PA
Legal business name
WYOMING VALLEY ALCOHOL AND DRUG SERVICES INC
Practice address
480 Pierce St
316-317
Kingston, PA 18704-5512
Phone
(570) 820-8888
NPI assigned
May 26, 2016
Last updated
May 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Jason Harlen, MA
Title
Ceo
Phone
(570) 820-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 407063 PA Primary

Addresses

Primary practice location

480 Pierce St
316-317
Kingston, PA 18704-5512

Mailing address

437 N Main St
Wilkes Barre, PA 18705-1613
Phone (570) 820-8888

National Provider Directory

National Provider Directory
Tax ID family
Wyoming Valley Alcohol and Drug Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

480 Pierce St
Kingston, PA 18704
Phone (570) 287-1400

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1275981573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 N MAIN ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187051613",
            "telephone_number": "570-820-8888",
            "fax_number": "570-820-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 PIERCE ST",
            "address_2": "316-317",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045512",
            "telephone_number": "570-820-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING VALLEY ALCOHOL AND DRUG SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "HARLEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-820-8888",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "407063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.