NPIMap

Organization Active NPI

Northern Tier Counseling, Inc

  • Social Worker
  • Towanda, PA
National Provider Identifier
1497877518
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
NORTHERN TIER COUNSELING, INC
Practice address
RR 1 Box 137
Towanda, PA 18848-9730
Phone
(570) 265-0100
Fax
(570) 265-6741
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Paul Denault
Title
Ceo
Phone
(570) 265-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

RR 1 Box 137
Towanda, PA 18848-9730

Mailing address

RR 1 Box 137
Towanda, PA 18848-9730
Phone (570) 265-0100

Other identifiers 1

IdentifierTypeStateIssuer
801927OtherPAFPH PROV#-SOCIAL WORKER

Other names 1

  • Northern Tier Counseling-Social Worker Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northern Tier Counseling in8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497877518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 137",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188489730",
            "telephone_number": "570-265-0100",
            "fax_number": "570-265-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 137",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188489730",
            "telephone_number": "570-265-0100",
            "fax_number": "570-265-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN TIER COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENAULT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-265-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FPH PROV#-SOCIAL WORKER",
            "identifier": "801927",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Tier Counseling-Social Worker",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towanda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.