NPIMap

Organization Active NPI

The Center for Holistic and Integrative Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Athens, PA
National Provider Identifier
1487074696
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP011532 Issued in PA
Legal business name
THE CENTER FOR HOLISTIC AND INTEGRATIVE MENTAL HEALTH
Practice address
307 N Main St
Athens, PA 18810-1710
Phone
(570) 888-1541
Fax
(888) 228-9073
NPI assigned
Apr 27, 2014
Last updated
Aug 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Authorized official

Name
Dr. Stephanie G King, DNP, CRNPNPI 1518246669
Title
Owner and Managing Director
Phone
(484) 788-1249

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X SP011532 PA Primary

Addresses

Primary practice location

307 N Main St
Athens, PA 18810-1710

Mailing address

307 N Main St
Athens, PA 18810-1710
Phone (570) 888-1541

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1398556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1487074696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N MAIN ST",
            "city": "ATHENS",
            "state": "PA",
            "postal_code": "188101710",
            "telephone_number": "570-888-1541",
            "fax_number": "888-228-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N MAIN ST",
            "city": "ATHENS",
            "state": "PA",
            "postal_code": "188101710",
            "telephone_number": "570-888-1541",
            "fax_number": "888-228-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR HOLISTIC AND INTEGRATIVE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-27",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER AND MANAGING DIRECTOR",
        "authorized_official_telephone_number": "484-788-1249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CRNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP011532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.