NPIMap

Organization Active NPI

Winner'S Circle Center, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Lancaster, PA
National Provider Identifier
1619224474
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
PC005941 Issued in PA
Legal business name
WINNER'S CIRCLE CENTER, INC.
Practice address
2256 New Danville Pike
Lancaster, PA 17603-9666
Phone
(484) 643-9568
NPI assigned
Aug 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Catherine V Black, LPC, LPCMHNPI 1962699967
Title
Direct Owner
Phone
(484) 643-9568

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X PC-0000593 DE
Adult Mental Health Clinic/Center 261QM0850X PC005941 PA
Adolescent and Children Mental Health Clinic/Center 261QM0855X PC005941 PA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X PC-0000593 DE

Addresses

Primary practice location

2256 New Danville Pike
Lancaster, PA 17603-9666

Mailing address

2256 New Danville Pike
Lancaster, PA 17603-9666
Phone (484) 643-9568

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1344729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1619224474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 NEW DANVILLE PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176039666",
            "telephone_number": "484-643-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 NEW DANVILLE PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176039666",
            "telephone_number": "484-643-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNER'S CIRCLE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-12",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "484-643-9568",
        "authorized_official_credential": "LPC, LPCMH"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "DE",
            "license": "PC-0000593",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "PC005941",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "PC005941",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "DE",
            "license": "PC-0000593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.