NPIMap

Organization Active NPI

Luzerne Wyoming County MH Center #1

  • Case Management Agency
  • Wilkes Barre, PA
National Provider Identifier
1326169707
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LUZERNE WYOMING COUNTY MH CENTER #1
Practice address
110 S Pennsylvania Ave
Wilkes Barre, PA 18701-3301
Phone
(570) 552-6000
Fax
(570) 552-6020
NPI assigned
Apr 3, 2007
Organization subpart
Yes
Parent organization
LUZERNE WYOMING COUNTY MH CENTER #1As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Joseph H Knecht
Title
Ceo
Phone
(570) 552-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

110 S Pennsylvania Ave
Wilkes Barre, PA 18701-3301

Mailing address

562 Wyoming Ave
Kingston, PA 18704-3721
Phone (570) 552-3900

Other identifiers 1

IdentifierTypeStateIssuer
100002080-0018MedicaidPA

Other names 1

  • Community Counseling Services of NEPA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comm Couns Serv N E PA36 organizations share this tax ID, including this one
Part of
Comm Couns Serv N E PA

Other organizations with this tax ID 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1326169707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043721",
            "telephone_number": "570-552-3900",
            "fax_number": "570-552-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PENNSYLVANIA AVE",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187013301",
            "telephone_number": "570-552-6000",
            "fax_number": "570-552-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZERNE WYOMING COUNTY MH CENTER #1",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUZERNE WYOMING COUNTY MH CENTER #1",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "KNECHT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-552-3900"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002080-0018",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Counseling Services of NEPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.