Northeast Counseling Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1007615710065 Issued in PA

Legal business name

NORTHEAST COUNSELING SERVICES

Practice address

1700 W 22ND St
Hazle Township, PA 18202-1535

Phone

(570) 455-6385

NPI assigned

Oct 31, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Fran Emershaw, LSW

Title

Exec. Director

Phone

(570) 735-7590

Specialties & licenses 6

Addresses

Other identifiers 13

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

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nanticoke, PA
  • NPI 1619016128

  O20040608000843

  Same enrollment

Locations

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nilesh Baxi, MD

  • Psychiatry Physician
  • Mountain Top, PA
  • NPI 1851322457
  Medicare reassignment Care Compare group NPD
• Kathleen C Fishe, PA-C

  • Physician Assistant
  • Coaldale, PA
  • NPI 1427278597
  Medicare reassignment Care Compare group NPD
• Rajendra Gajula, MD

  • Psychiatry Physician
  • Dallas, PA
  • NPI 1124011614
  Medicare reassignment Care Compare group NPD
• Lauren Hunsinger, RN

  • Psychiatric/Mental Health Registered Nurse
  • Pittsburgh, PA
  • NPI 1922810951
  Medicare reassignment Care Compare group NPD
• David Liskov, MD

  • Geriatric Psychiatry Physician
  • Kingston, PA
  • NPI 1780683417
  Medicare reassignment Care Compare group NPD
• Lisa K Makhoul, PA-C

  • Physician Assistant
  • Nanticoke, PA
  • NPI 1124498688
  Medicare reassignment Care Compare group NPD
• Dorothy A Perillo, PA-C

  • Physician Assistant
  • Hazleton, PA
  • NPI 1447336599
  Medicare reassignment Care Compare group NPD
• Adharsh Pravid Sahadevan, M.D.

  • Psychiatry Physician
  • Scranton, PA
  • NPI 1376703769
  Medicare reassignment Care Compare group NPD
• Justine M Samanas, PA-C

  • Physician Assistant
  • Nanticoke, PA
  • NPI 1588852347
  Medicare reassignment Care Compare group NPD
• Mark J Saxon, D.O.

  • Psychiatry Physician
  • Kingston, PA
  • NPI 1255389326
  Medicare reassignment Care Compare group NPD
• Audra Gould, PA

  • Physician Assistant
  • Wilkes Barre, PA
  • NPI 1518363811
  Medicare reassignment NPD
• Barbara Lynnette Hoffman, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilkes Barre, PA
  • NPI 1043656721
  Medicare reassignment NPD

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1649608530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 E MAIN ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W 22ND ST",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021535",
            "telephone_number": "570-455-6385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 S Prospect St",
            "address_purpose": "LOCATION",
            "city": "Nanticoke",
            "state": "PA",
            "postal_code": "186342456",
            "country_code": "US",
            "telephone_number": "570-735-7590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 SUNSET LAKE RD",
            "address_purpose": "LOCATION",
            "city": "HUNLOCK TOWNSHIP",
            "state": "PA",
            "postal_code": "186210000",
            "country_code": "US",
            "telephone_number": "570-735-7590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Rock Glen Rd",
            "address_purpose": "LOCATION",
            "city": "Sugarloaf",
            "state": "PA",
            "postal_code": "182493200",
            "country_code": "US",
            "telephone_number": "570-735-7590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 N Wyoming St",
            "address_purpose": "LOCATION",
            "city": "Hazleton",
            "state": "PA",
            "postal_code": "182013287",
            "country_code": "US",
            "telephone_number": "570-455-6385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Kosciuszko St",
            "address_purpose": "LOCATION",
            "city": "Nanticoke",
            "state": "PA",
            "postal_code": "186342613",
            "country_code": "US",
            "telephone_number": "570-735-7590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Kelayres Rd",
            "address_purpose": "LOCATION",
            "city": "McAdoo",
            "state": "PA",
            "postal_code": "182371315",
            "country_code": "US",
            "telephone_number": "570-455-6385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Mill St",
            "address_purpose": "LOCATION",
            "city": "Hazleton",
            "state": "PA",
            "postal_code": "182016701",
            "country_code": "US",
            "telephone_number": "570-455-6385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 North St",
            "address_purpose": "LOCATION",
            "city": "West Hazleton",
            "state": "PA",
            "postal_code": "182023751",
            "country_code": "US",
            "telephone_number": "570-455-6385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Hazleton",
            "state": "PA",
            "postal_code": "182016835",
            "country_code": "US",
            "telephone_number": "570-455-6385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Alvin St",
            "address_purpose": "LOCATION",
            "city": "Freeland",
            "state": "PA",
            "postal_code": "182241201",
            "country_code": "US",
            "telephone_number": "570-455-6385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 N 23RD ST",
            "address_purpose": "LOCATION",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182010000",
            "country_code": "US",
            "telephone_number": "570-735-7590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHEAST COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-31",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "EMERSHAW",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "EXEC. DIRECTOR",
        "authorized_official_telephone_number": "570-735-7590",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "1007615710065",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "1007615710004",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "1007615710004",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "1007615710065",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "1007615710004",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "1007615710065",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710073",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710078",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710079",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710081",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710083",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710065",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710074",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710082",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710076",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710077",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710080",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710084",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710075",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Counseling Service
• Northeast Counseling Service
• Northeast Counseling Service
• Northeast Counseling Service
• Northeast Counseling Services
• Northeast Gastroenterology Center, Inc.
• Northeast Gastroenterology Center, Inc.
• Northeast Hearing Solutions, Inc
• Oak HRC Mountain City LLC (Mountain City Nursing & Rehabilitation Center)
• Howard M Ogin, LIC. PSYCHOLOGIST

• Clinic/Center in Hazle Township, PA
• Providers in Hazle Township, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.