Active NPI
New Directions Healthcare LLC
- Methadone Clinic
- Erie, PA
National Provider Identifier
1306242821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- 257084
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200226000421 | PA | Part B Supplier - Opioid Treatment Program (Otp) | 4587983440 | Practice locations: Erie, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2081735 | New Directions Healthcare | Certificate of waiver | Jul 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.