Active NPI
Mary Repasky, MS COUNSELING
- Addiction (Substance Use Disorder) Counselor
- Kingston, PA
National Provider Identifier
1528368826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 562 Wyoming Ave
Choices Program of Wyoming Valley
Kingston, PA 18704 - Phone
- (570) 552-3700
- Fax
- (570) 552-3705
- NPI assigned
- Nov 2, 2010
- Last updated
- Nov 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
562 Wyoming Ave
Choices Program of Wyoming Valley
Kingston, PA 18704
Mailing address
562 Wyoming Avenue
Choices Program of Wyoming Valley
Kingston, PA 18704
Phone (570) 552-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1528368826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 WYOMING AVENUE",
"address_2": "CHOICES PROGRAM OF WYOMING VALLEY",
"city": "KINGSTON",
"state": "PA",
"postal_code": "18704",
"telephone_number": "570-552-3700",
"fax_number": "570-552-3705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "562 WYOMING AVE",
"address_2": "CHOICES PROGRAM OF WYOMING VALLEY",
"city": "KINGSTON",
"state": "PA",
"postal_code": "18704",
"telephone_number": "570-552-3700",
"fax_number": "570-552-3705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPASKY",
"first_name": "MARY",
"credential": "MS COUNSELING",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.