NPIMap

Organization Active NPI

Change of Heart Counseling and Consultation Services, Inc

  • Clinical Social Worker
  • Tunkhannock, PA
National Provider Identifier
1619468097
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHANGE OF HEART COUNSELING AND CONSULTATION SERVICES, INC
Doing business as
Alishia Allegrucci, LCSW
Practice address
505 Hunter Hwy Ste 2
Tunkhannock, PA 18657-8064
Phone
(570) 840-0831
NPI assigned
May 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
Mrs. Alishia Allegrucci, LCSWNPI 1942603865
Title
Licensed Clinical Social Worker
Phone
(570) 840-0831

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

505 Hunter Hwy Ste 2
Tunkhannock, PA 18657-8064

Mailing address

66 Tompkinsville Rd
Scott Township, PA 18433-7889

Other names 1

  • Alishia Allegrucci, LCSW Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230303001800 PA Part B Supplier - Clinic/Group Practice 5395118814 Receives reassigned benefits from 1 practitioner
Practice locations: Jermyn, PA; Tunkhannock, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1619468097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 TOMPKINSVILLE RD",
            "city": "SCOTT TOWNSHIP",
            "state": "PA",
            "postal_code": "184337889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 HUNTER HWY STE 2",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186578064",
            "telephone_number": "570-840-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE OF HEART COUNSELING AND CONSULTATION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "ALLEGRUCCI",
        "authorized_official_first_name": "ALISHIA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "570-840-0831",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alishia Allegrucci, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tunkhannock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.