NPIMap

Organization Active NPI

Colonial Intermediate Unit 20

  • Adult Mental Health Clinic/Center
  • Shohola, PA
National Provider Identifier
1417605452
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
COLONIAL INTERMEDIATE UNIT 20
Practice address
940 Twin Lakes Rd
Shohola, PA 18458-4405
Phone
(610) 515-6439
NPI assigned
Mar 17, 2022
Last updated
Mar 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Jen Kosiba
Title
Medical Billing/Resolve Outpatient
Phone
(610) 515-6439

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

940 Twin Lakes Rd
Shohola, PA 18458-4405

Mailing address

6 Danforth Dr
Easton, PA 18045-7820
Phone (610) 515-6439

Other practice location 1

1375 Route 739
Dingmans Ferry, PA 18328-3406
Phone (610) 515-6439

Other practice location 2

1355 Route 739
Dingmans Ferry, PA 18328-3406
Phone (610) 515-6439

Other practice location 3

1365 Route 739
Dingmans Ferry, PA 18328-3406
Phone (610) 515-6439

Other practice location 4

500 Avenue S
Matamoras, PA 18336-1649
Phone (610) 515-6439

Other practice location 5

252 Route 6 and 209
Milford, PA 18337-9454
Phone (610) 515-6439

Other practice location 6

258 Route 6 and 209
Milford, PA 18337-9454
Phone (610) 515-6439

National Provider Directory

National Provider Directory
Tax ID family
Colonial Intermediate Unit 2044 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Locations

1355 Route 739
Dingmans Ferry, PA 18328

1365 Route 739
Dingmans Ferry, PA 18328

1375 Route 739
Dingmans Ferry, PA 18328

940 Twin Lakes Rd
Shohola, PA 18458

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1417605452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DANFORTH DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180457820",
            "telephone_number": "610-515-6439",
            "fax_number": "610-515-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 TWIN LAKES RD",
            "city": "SHOHOLA",
            "state": "PA",
            "postal_code": "184584405",
            "telephone_number": "610-515-6439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1375 Route 739",
            "address_purpose": "LOCATION",
            "city": "Dingmans Ferry",
            "state": "PA",
            "postal_code": "183283406",
            "country_code": "US",
            "telephone_number": "610-515-6439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1355 Route 739",
            "address_purpose": "LOCATION",
            "city": "Dingmans Ferry",
            "state": "PA",
            "postal_code": "183283406",
            "country_code": "US",
            "telephone_number": "610-515-6439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1365 Route 739",
            "address_purpose": "LOCATION",
            "city": "Dingmans Ferry",
            "state": "PA",
            "postal_code": "183283406",
            "country_code": "US",
            "telephone_number": "610-515-6439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Avenue S",
            "address_purpose": "LOCATION",
            "city": "Matamoras",
            "state": "PA",
            "postal_code": "183361649",
            "country_code": "US",
            "telephone_number": "610-515-6439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 Route 6 and 209",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "PA",
            "postal_code": "183379454",
            "country_code": "US",
            "telephone_number": "610-515-6439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "258 Route 6 and 209",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "PA",
            "postal_code": "183379454",
            "country_code": "US",
            "telephone_number": "610-515-6439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLONIAL INTERMEDIATE UNIT 20",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "KOSIBA",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "MEDICAL BILLING/RESOLVE OUTPATIENT",
        "authorized_official_telephone_number": "610-515-6439"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shohola, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.