Northeast Counseling Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1007615710026 Issued in PA

Legal business name

NORTHEAST COUNSELING SERVICES

Practice address

130 W Washington St
Nanticoke, PA 18634-3113

Phone

(570) 735-7590

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ed Abdo Jr.

Title

Exec. Director

Phone

(570) 455-6385

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Northeast Counseling Services

  • Adult Mental Health Clinic/Center
  • Nanticoke, PA
  • NPI 1255471249

  O20040608000843

  Same enrollment
• Northeast Counseling Services

  • Adolescent and Children Mental Health Clinic/Center
  • Hazleton, PA
  • NPI 1598805061

  O20040608000843

  Same enrollment
• Northeast Counseling Services

  • Clinic/Center
  • Hazle Township, PA
  • NPI 1649608530

  O20040608000843

  Same enrollment

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1619016128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W WASHINGTON ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186343113",
            "telephone_number": "570-735-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W WASHINGTON ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186343113",
            "telephone_number": "570-735-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "ABDO",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "EXEC. DIRECTOR",
        "authorized_official_telephone_number": "570-455-6385",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "1007615710026",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "1007615710026",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "1007615710026",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710026",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Counseling Services
• Northeast Counseling Services
• Northeast Counseling Services
• Northeast Counseling Services
• Northeast Counseling Services
• Northeast Counseling Services
• Northeast Counseling Services
• Northeast Counseling Services
• Linda A O'Boyle, CRNP
• Jon J Olenginski, DO

• Mental Health Clinic/Center (Including Community Mental Health Center) in Nanticoke, PA
• Providers in Nanticoke, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.