Organization Active NPI

Susquehanna Valley Community Mental Health Services

  • Mental Health Counselor
  • Hanover, PA
National Provider Identifier
1477947620
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC003017 Issued in PA
Legal business name
SUSQUEHANNA VALLEY COMMUNITY MENTAL HEALTH SERVICES
Practice address
546 Broadway
Hanover, PA 17331-2007
Phone
(717) 739-6576
Fax
(717) 630-9678
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Sharron HillNPI 1114263837
Title
Ceo
Phone
(717) 739-6576

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X PC003017 PA Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS017668 PA
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

546 Broadway
Hanover, PA 17331-2007

Mailing address

546 Broadway
Hanover, PA 17331-2007
Phone (717) 739-6576

Other identifiers 1

IdentifierTypeStateIssuer
102974417MedicaidPA

Other names 1

  • York County Adolescent Mental Health Services Former legal business name

National Provider Directory

National Provider Directory

Locations

546 Broadway
Hanover, PA 17331
Phone (301) 304-7108

18 S George St
Ste 606
York, PA 17401
Phone (717) 848-9583

15 Wyntre Brooke Dr
Ofc
York, PA 17403
Phone (717) 739-6576

2709 S Queen St
Ste 1
York, PA 17403
Phone (717) 739-6576

1 E Market St
Ste 401
York, PA 17401
Phone (717) 739-6576

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1477947620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 BROADWAY",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312007",
            "telephone_number": "717-739-6576",
            "fax_number": "717-630-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 BROADWAY",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312007",
            "telephone_number": "717-739-6576",
            "fax_number": "717-630-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA VALLEY COMMUNITY MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SHARRON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-739-6576"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC003017",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017668",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102974417",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "York County Adolescent Mental Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "York County Adolescent Mental Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.