NPIMap

Organization Active NPI

Paoletta Counseling Services, Inc

  • Clinic/Center
  • Mercer, PA
National Provider Identifier
1508801887
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PAOLETTA COUNSELING SERVICES, INC
Practice address
456 N Pitt St
Mercer, PA 16137-1129
Phone
(724) 662-7202
NPI assigned
Jun 19, 2006
Last updated
Oct 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Ms. Dawn R Hanaway, MEDNPI 1053537316
Title
Ceo
Phone
(724) 662-7202

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Mental Health Counselor 101YM0800X NU
School Psychologist 103TS0200X NU
Clinical Social Worker 1041C0700X NU
Community/Behavioral Health Agency 251S00000X 437940 PA

Addresses

Primary practice location

456 N Pitt St
Mercer, PA 16137-1129

Mailing address

456 N Pitt St
Mercer, PA 16137-1129
Phone (724) 662-7202

Other identifiers 2

IdentifierTypeStateIssuer
001815290MedicaidPA
437940OtherPANEW STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040825000033 PA Part B Supplier - Clinic/Group Practice 4486628450 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
Practice locations: Franklin, PA; Mercer, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

300 Liberty St
Franklin, PA 16323
Phone (814) 437-5770

Practitioners & affiliated clinicians

Practitioners 62

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.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1508801887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 N PITT ST",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161371129",
            "telephone_number": "724-662-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N PITT ST",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161371129",
            "telephone_number": "724-662-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAOLETTA COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "HANAWAY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-662-7202",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "437940",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001815290",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW STATE LICENSE",
            "identifier": "437940",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.