Wyoming Valley Alcohol and Drug Services Inc

Primary specialty

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

Legal business name

WYOMING VALLEY ALCOHOL AND DRUG SERVICES INC

Doing business as

New Bridge Counseling

Practice address

480 Pierce St Ste 103
Kingston, PA 18704-5512

Phone

(570) 820-8888

Fax

(570) 820-8888

NPI assigned

Jun 26, 2024

Last updated

Jun 26, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

WYOMING VALLEY ALCOHOL AND DRUG SERVICES INCAs reported in NPPES

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

Authorized official

Name

Frank Piazza

Title

Cfo

Phone

(570) 820-8888

Specialties & licenses 1

Addresses

Other names 1

• New Bridge Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Wyoming Valley Alcohol and Drug Services Inc5 organizations share this tax ID, including this one

Part of

Wyoming Valley Alcohol and Drug Services Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Wyoming Valley Alchol and Drug Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Berwick, PA
  • NPI 1831571413
  NPD tax ID
• Wyoming Valley Alcohol & Drug Services, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Pittston, PA
  • NPI 1558532671
  NPD tax ID
• Wyoming Valley Alcohol and Drug Services Inc

  • Addiction (Substance Use Disorder) Counselor
  • Kingston, PA
  • NPI 1275981573
  NPD tax ID
• Wyoming Valley Alcohol and Drug Services Inc

  • Addiction (Substance Use Disorder) Counselor
  • Wilkes Barre, PA
  • NPI 1669568770
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Burke, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dalton, PA
  • NPI 1902780901
  Medicare reassignment NPD
• Jane Jesse, MD

  • Psychiatry Physician
  • Kingston, PA
  • NPI 1508060112
  Medicare reassignment NPD

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1639914211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 N MAIN ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187051613",
            "telephone_number": "570-820-8888",
            "fax_number": "570-820-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 PIERCE ST STE 103",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045512",
            "telephone_number": "570-820-8888",
            "fax_number": "570-820-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING VALLEY ALCOHOL AND DRUG SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYOMING VALLEY ALCOHOL AND DRUG SERVICES INC",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "PIAZZA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "570-820-8888"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Bridge Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gordon Bruce Wilson, LCSW
• Levi Yitzchok Wolff, LPC
• Women to Women
• Allen Woods, D.M.D.
• Wyoming Valley Alcohol and Drug Services Inc
• Wyoming Valley Foot Associates P C
• Wyoming Valley Internal Medicine
• Wyoming Valley Oral Surgery PLLC (Callahan and Bergey Associates)
• Wyoming Valley Pharmacy Inc
• Wyoming Valley West

• Mental Health Clinic/Center (Including Community Mental Health Center) in Kingston, PA
• Providers in Kingston, 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 Jun 26, 2024; 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.