Organization Active NPI

New Directions Healthcare LLC

  • Methadone Clinic
  • Erie, PA
National Provider Identifier
1306242821
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
257084 Issued in PA
Legal business name
NEW DIRECTIONS HEALTHCARE LLC
Practice address
306 W 11TH St
2ND Floor
Erie, PA 16501-1746
Phone
(814) 240-6216
Fax
(814) 240-6219
NPI assigned
Nov 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Kara Ann Bennett, C.R.N.P.
Title
Facility Director
Phone
(814) 240-6216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 257084 PA Primary

Addresses

Primary practice location

306 W 11TH St
2ND Floor
Erie, PA 16501-1746

Mailing address

306 W 11TH St
2ND Floor
Erie, PA 16501-1746
Phone (814) 240-6216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200226000421 PA Part B Supplier - Opioid Treatment Program (Otp) 4587983440 Practice locations: Erie, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2081735New Directions Healthcare306 West 11TH Street, Erie, PA 16501Certificate of waiverJul 29, 2028

National Provider Directory

National Provider Directory

Locations

306 W 11th St
Ste 2
Erie, PA 16501
Phone (814) 240-6216

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1306242821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W 11TH ST",
            "address_2": "2ND FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011746",
            "telephone_number": "814-240-6216",
            "fax_number": "814-240-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W 11TH ST",
            "address_2": "2ND FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011746",
            "telephone_number": "814-240-6216",
            "fax_number": "814-240-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTIONS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "814-240-6216",
        "authorized_official_credential": "C.R.N.P."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "PA",
            "license": "257084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.