Little Creek Outpatient Services LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

647021 Issued in PA

Legal business name

LITTLE CREEK OUTPATIENT SERVICES LLC

Practice address

473 Easton Tpke Ste 5
Lake Ariel, PA 18436-4716

Phone

(570) 689-6068

Fax

(570) 689-2744

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Kathryn McKendry, MS, LPC, CCSNPI 1386064483

Title

Clinical/Executive Director

Phone

(570) 689-2043

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn McKendry, MS, LPC, CRC

  • Professional Counselor
  • Emmaus, PA
  • NPI 1386064483
  NPD (past) Authorized official
• Amanda Burnside, MA, ATR-BC, LPC

  • Professional Counselor
  • Lake Ariel, PA
  • NPI 1154889384
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1548716145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942",
            "city": "HAMLIN",
            "state": "PA",
            "postal_code": "184270942",
            "telephone_number": "570-689-6068",
            "fax_number": "570-689-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 EASTON TPKE STE 5",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184364716",
            "telephone_number": "570-689-6068",
            "fax_number": "570-689-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE CREEK OUTPATIENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "MCKENDRY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CLINICAL/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-689-2043",
        "authorized_official_credential": "MS, LPC, CCS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "647021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa A Lafranco, M.D.
• Jennifer Laity
• Lauren Lewis
• Lilybrook Wellness Center LLC
• Little Creek Lodge
• Lonewell Health LLC
• Myra Cummings Mabry, D.O.,
• Norina A Manassy, PAC
• Basya Marcus, MD
• Maternal & Family Health Services Inc

• Clinic/Center in Lake Ariel, PA
• Providers in Lake Ariel, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.