NPIMap

Organization Active NPI

Pennsylvania Assessment Consultants for Co Occurring Disorders LLC

Doing business as Pacco LLC

  • Addiction (Substance Use Disorder) Counselor
  • Northampton, PA 18067, PA
National Provider Identifier
1326205170
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
PENNSYLVANIA ASSESSMENT CONSULTANTS FOR CO OCCURRING DISORDERS LLC
Doing business as
Pacco LLC
Practice address
2030 Center St. Plaza
Suite 104,
Northampton, PA 18067, PA 18067
Phone
(610) 262-6999
Fax
(610) 262-6990
NPI assigned
May 20, 2008
Last updated
Nov 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Mr. Milton Leonardo Reyes, BA, CAC
Title
Director of Operations
Phone
(610) 262-6999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

2030 Center St. Plaza
Suite 104,
Northampton, PA 18067, PA 18067

Mailing address

2030 Center St. Plaza
Suite 104,
Northampton, PA 18067, PA 18067
Phone (610) 262-6999

Other names 1

  • PACCO LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2030 Center St
Ste 104
Northampton, PA 18067
Phone (610) 262-6999

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1326205170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 CENTER ST. PLAZA",
            "address_2": "SUITE 104,",
            "city": "NORTHAMPTON, PA 18067",
            "state": "PA",
            "postal_code": "18067",
            "telephone_number": "610-262-6999",
            "fax_number": "610-262-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 CENTER ST. PLAZA",
            "address_2": "SUITE 104,",
            "city": "NORTHAMPTON, PA 18067",
            "state": "PA",
            "postal_code": "18067",
            "telephone_number": "610-262-6999",
            "fax_number": "610-262-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA ASSESSMENT CONSULTANTS FOR CO OCCURRING DISORDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "LEONARDO",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "610-262-6999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA, CAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACCO LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.