NPIMap

Organization Active NPI

Moses Taylor Hospital Worklife and Counseling Services

Doing business as eling Services

  • Mental Health Counselor
  • Dunmore, PA
National Provider Identifier
1346440542
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CW00248L Issued in PA
Legal business name
MOSES TAYLOR HOSPITAL WORKLIFE AND COUNSELING SERVICES
Doing business as
eling Services
Practice address
1141 Clay Ave
Dunmore, PA 18510-1191
Phone
(570) 340-2147
Fax
(570) 340-2150
NPI assigned
Jul 25, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Dr. David John Brolan, PHD, LCSW, CEAPNPI 1902957137
Title
Executive Director
Phone
(570) 340-2147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CW00248L PA Primary

Addresses

Primary practice location

1141 Clay Ave
Dunmore, PA 18510-1191

Mailing address

700 Quincy Ave
Scranton, PA 18510-1724
Phone (570) 340-2147

Other names 1

  • eling Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moses Taylor Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1346440542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 QUINCY AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101724",
            "telephone_number": "570-340-2147",
            "fax_number": "570-340-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 CLAY AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185101191",
            "telephone_number": "570-340-2147",
            "fax_number": "570-340-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES TAYLOR HOSPITAL WORKLIFE AND COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "BROLAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-340-2147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW, CEAP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW00248L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.