NPIMap

Organization Active NPI

Pathway to Recovery Counseling & Educational Services

  • Addiction (Substance Use Disorder) Counselor
  • Hazleton, PA
National Provider Identifier
1609889351
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
PATHWAY TO RECOVERY COUNSELING & EDUCATIONAL SERVICES
Practice address
223 West Broad St.
Hazleton, PA 18201
Phone
(570) 455-9902
Fax
(570) 455-9452
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Mrs. Katie Petrole
Title
President & Ceo
Phone
(570) 455-9902

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary
Public Health or Welfare Agency 251K00000X 226200 PA
Community/Behavioral Health Agency 251S00000X 226200 PA
Clinic/Center 261Q00000X 226200 PA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 226200 PA
Adult Mental Health Clinic/Center 261QM0850X 226200 PA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 226200 PA

Addresses

Primary practice location

223 West Broad St.
Hazleton, PA 18201

Mailing address

223 West Broad St.
Hazleton, PA 18201
Phone (570) 455-9902

Other identifiers 1

IdentifierTypeStateIssuer
0005442270002MedicaidPA

Other names 1

  • Alcoholism and Drug Services of Lower Luzerne County Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2146345Pathway to Recovery Counseling & Ed Services223 West Broad Street, Hazleton, PA 18201Certificate of waiverMar 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
Alcoholism and Drug Services of Lower Luzerne County2 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.

Locations

223 W Broad St
Hazleton, PA 18201
Phone (570) 455-9902

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1609889351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 WEST BROAD ST.",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "18201",
            "telephone_number": "570-455-9902",
            "fax_number": "570-455-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WEST BROAD ST.",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "18201",
            "telephone_number": "570-455-9902",
            "fax_number": "570-455-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY TO RECOVERY COUNSELING & EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "PETROLE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "570-455-9902",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "226200",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "226200",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "226200",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "226200",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "226200",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "226200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005442270002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alcoholism and Drug Services of Lower Luzerne County",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.