Active NPI
Community Counseling Services LLC
- Psychiatry Physician
- York, PA
National Provider Identifier
1437252517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- COMMUNITY COUNSELING SERVICES LLC
- Practice address
- 239 W Philadelphia St
York, PA 17401 - Phone
- (717) 845-2425
- Fax
- (717) 845-2682
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dewana Lynn Hall, MHS LPC CAC CCJP
- Title
- Agency Director
- Phone
- (717) 845-2425
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
239 W Philadelphia St
York, PA 17401
Mailing address
PO Box 7726
York, PA 17404-0726
Phone (717) 845-2425
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007140200 | Other | PA | AETNA |
| 004415 | Other | PA | VALUE OPTIONS |
| 1009989660002 | Medicaid | PA | |
| 1201648 | Other | PA | AETNA |
| 1376652487 | Other | PA | UNITED BEHAVIORAL HEALTH |
| 171061000 | Other | PA | MAGELLAN |
| 50042879 | Other | PA | BLUE CROSS |
| 001636224 | Other | PA | BLUE SHIELD |
| 1504909 | Other | PA | GATEWAY HEALTH PLAN |
| 2009773000 | Other | PA | MAGELLAN |
| 1073576278 | Other | PA | UNITED BEHAVIORAL HEALTH |
| 0007120286 | Other | PA | AETNA |
| 1567799 | Other | PA | GATEWAY HEALTH PLAN |
| 10009989660001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252540800000",
"number": "1437252517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7726",
"city": "YORK",
"state": "PA",
"postal_code": "174040726",
"telephone_number": "717-845-2425",
"fax_number": "717-845-2682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 W PHILADELPHIA ST",
"city": "YORK",
"state": "PA",
"postal_code": "17401",
"telephone_number": "717-845-2425",
"fax_number": "717-845-2682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2009-09-10",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "DEWANA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "AGENCY DIRECTOR",
"authorized_official_telephone_number": "717-845-2425",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MHS LPC CAC CCJP"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0007140200",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "004415",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009989660002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1201648",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "1376652487",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "171061000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "50042879",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "001636224",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1504909",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "2009773000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "1073576278",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0007120286",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1567799",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10009989660001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.