Organization Active NPI

Assist Inc.

  • Counseling Psychologist
  • Johnstown, PA
National Provider Identifier
1396869053
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
ASSIST INC.
Practice address
636 Rear Scalp Ave
Johnstown, PA 15904
Phone
(814) 536-7313
Fax
(814) 535-2177
NPI assigned
Mar 19, 2007
Last updated
Dec 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Mr. Jeffrey S Walker, LPC
Title
Ceo
Phone
(814) 536-7313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

636 Rear Scalp Ave
Johnstown, PA 15904

Mailing address

636 Rear Scalp Ave
Johnstown, PA 15904
Phone (814) 536-7313

Other practice location 1

142 Gazebo Park
Suite 301
Johnstown, PA 15901
Phone (814) 536-7313

Other identifiers 1

IdentifierTypeStateIssuer
1011684580001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@assistyouth.net Direct

National Provider Directory

National Provider Directory

Locations

142 Gazebo Park
Ste 301
Johnstown, PA 15901
Phone (814) 536-7313

636 Scalp Ave
Rear
Johnstown, PA 15904
Phone (814) 536-7313

Practitioners & affiliated clinicians

Practitioners 2

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1396869053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 REAR SCALP AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15904",
            "telephone_number": "814-536-7313",
            "fax_number": "814-535-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 REAR SCALP AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15904",
            "telephone_number": "814-536-7313",
            "fax_number": "814-535-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Gazebo Park",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "15901",
            "country_code": "US",
            "telephone_number": "814-536-7313",
            "fax_number": "814-535-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-536-7313",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011684580001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@assistyouth.net",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "636 Rear Scalp Ave",
            "city": "Johnstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.