NPIMap

Organization Active NPI

Integrated Behavioral Healthcare Management Services, Inc.

Doing business as Huntingdon Counseling and Psychiatric Services

  • Clinic/Center
  • Huntingdon, PA
National Provider Identifier
1598874414
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
313180 Issued in PA
Legal business name
INTEGRATED BEHAVIORAL HEALTHCARE MANAGEMENT SERVICES, INC.
Doing business as
Huntingdon Counseling and Psychiatric Services
Practice address
900 Bryan St
Suite 5
Huntingdon, PA 16652-2413
Phone
(814) 643-6300
Fax
(814) 643-8776
NPI assigned
Aug 30, 2006
Last updated
Mar 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Mr. Mark M. Peters, M.A.NPI 1366554784
Title
President/Ceo
Phone
(814) 643-6300

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 313180 PA Primary
Adult Mental Health Clinic/Center 261QM0850X 313180 PA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 313180 PA

Addresses

Primary practice location

900 Bryan St
Suite 5
Huntingdon, PA 16652-2413

Mailing address

900 Bryan Street
Suite 5
Huntingdon, PA 16652
Phone (814) 643-6300

Other identifiers 3

IdentifierTypeStateIssuer
100746486MedicaidPA
1350119OtherPABLUE SHIELD (MANAGED CARE
1359155OtherPABLUE SHIELD

Other names 1

  • Huntingdon Counseling and Psychiatric Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630000804 PA Part B Supplier - Clinic/Group Practice 3173500931 Receives reassigned benefits from 7 practitioners
Practice locations: Huntingdon, PA

National Provider Directory

National Provider Directory
Tax ID family
Huntingdon Counseling and Psychiatric Services2 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.

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1598874414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BRYAN STREET",
            "address_2": "SUITE 5",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "16652",
            "telephone_number": "814-643-6300",
            "fax_number": "814-643-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BRYAN ST",
            "address_2": "SUITE 5",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522413",
            "telephone_number": "814-643-6300",
            "fax_number": "814-643-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED BEHAVIORAL HEALTHCARE MANAGEMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "814-643-6300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "313180",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "313180",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "313180",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100746486",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD (MANAGED CARE",
            "identifier": "1350119",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1359155",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntingdon Counseling and Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Huntingdon Counseling and Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.