Organization Active NPI

Mid River Counseling, LLC

  • Clinical Social Worker
  • Selinsgrove, PA
National Provider Identifier
1487577292
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MID RIVER COUNSELING, LLC
Practice address
880 Route 522
Selinsgrove, PA 17870-9712
Phone
(717) 417-8378
NPI assigned
Jul 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Dominick Agosti
Title
Owner
Phone
(717) 417-8378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

880 Route 522
Selinsgrove, PA 17870-9712

Mailing address

880 Route 522
Selinsgrove, PA 17870-9712
Phone (717) 417-8378

National Provider Directory

National Provider Directory
Tax ID family
Mid River Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

880 US Highway 522
Selinsgrove, PA 17870
Phone (570) 374-0966

NPI Registry JSON

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1487577292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 ROUTE 522",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178709712",
            "telephone_number": "717-417-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 ROUTE 522",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178709712",
            "telephone_number": "717-417-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID RIVER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "AGOSTI",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-417-8378"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selinsgrove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.