Excursion Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EXCURSION COUNSELING

Practice address

12 Deer Path Dr
Berwick, PA 18603-5108

Phone

(570) 764-7594

NPI assigned

Mar 4, 2024

Last updated

Mar 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Kepner, LSWNPI 1780368571

Title

Licensed Social Worker/Owner

Phone

(570) 764-7594

Specialties & licenses 1

Addresses

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.

• Kimberly Kepner, LMSW

  • Clinical Social Worker
  • Berwick, PA
  • NPI 1780368571
  NPD Authorized official

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1356108708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DEER PATH DR",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186035108",
            "telephone_number": "570-764-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 DEER PATH DR",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186035108",
            "telephone_number": "570-764-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCURSION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "KEPNER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "LICENSED SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "570-764-7594",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Duryea, PA
• Eckerd Corporation (Rite Aid Pharmacy 11073)
• Susan D Ermish, DMD
• Keith L Evans Jr., LPC
• Tracy Marie Eveland
• Eye Care Specialists, P.C.
• Tamer Mohamed Fathy, MD
• Amanda Knox Fierro, PHARMD
• Jennifer Lynn Fisher, PHARMD
• Nathaniel W Flook, DMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Berwick, PA
• Providers in Berwick, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.