Joseph Anthony Laquidara, LPC, CAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC016406 Issued in PA

Practice address

143 West Main Street
Suite 110
North East, PA 16428

Phone

(814) 347-5018

Fax

(814) 347-5186

NPI assigned

Jan 26, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Watershed Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North East, PA
  • NPI 1548778202
  NPD

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1629830591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 WEST MAIN STREET",
            "address_2": "SUITE 110",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "16428",
            "telephone_number": "814-347-5018",
            "fax_number": "814-347-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 WEST MAIN STREET",
            "address_2": "SUITE 110",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "16428",
            "telephone_number": "814-347-5018",
            "fax_number": "814-347-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAQUIDARA",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LPC, CAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Diane Majewski, PA

• Professional Counselor in North East, PA
• Providers in North East, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.