NPIMap

Organization Active NPI

Apollo Mental Health Services, LLC

  • Mental Health Counselor
  • Tresckow, PA
National Provider Identifier
1457916512
Registry record updated May 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
APOLLO MENTAL HEALTH SERVICES, LLC
Practice address
36 North Chestnut Street
Tresckow, PA 18254
Phone
(570) 582-8621
NPI assigned
May 4, 2019
Last updated
May 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2019

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

Authorized official

Name
Mr. Jonathan Thomas Petrole, LPCNPI 1285125575
Title
Owner
Phone
(570) 582-8621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

36 North Chestnut Street
Tresckow, PA 18254

Mailing address

36 North Chestnut Street PO Box 193
Tresckow, PA 18254
Phone (570) 582-8621

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL apollomentalhealth@gmail.com Direct

National Provider Directory

National Provider Directory

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": "1556928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556928000000",
    "number": "1457916512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 NORTH CHESTNUT STREET PO BOX 193",
            "city": "TRESCKOW",
            "state": "PA",
            "postal_code": "18254",
            "telephone_number": "570-582-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 NORTH CHESTNUT STREET",
            "city": "TRESCKOW",
            "state": "PA",
            "postal_code": "18254",
            "telephone_number": "570-582-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-04",
        "last_updated": "2019-05-04",
        "status": "A",
        "authorized_official_last_name": "PETROLE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-582-8621",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "apollomentalhealth@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "36 North Chestnut Street",
            "city": "Tresckow",
            "state": "PA",
            "country_code": "US",
            "postal_code": "18254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tresckow, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2019; 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.