Forensic Counseling Serives

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW129596 Issued in PA

Legal business name

FORENSIC COUNSELING SERIVES

Practice address

3664 Route 30
Latrobe, PA 15650-5208

Phone

(724) 309-8083

Fax

(724) 539-1555

NPI assigned

Sep 16, 2016

Organization subpart

No

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

Authorized official

Name

Stacey D Frye-Kerr, LSW

Title

Owner

Phone

(724) 309-8083

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Forensic Counseling Serives2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Forensic Counseling Services

  • Community/Behavioral Health Agency
  • Latrobe, PA
  • NPI 1619232980
  NPD tax ID

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1649728726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3664 ROUTE 30",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3664 ROUTE 30",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505208",
            "telephone_number": "724-309-8083",
            "fax_number": "724-539-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORENSIC COUNSELING SERIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "FRYE-KERR",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-309-8083",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028593260001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028593260005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028593260003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel W Flannagan, MD
• Wade Alan Flickinger, PA-C
• Courtney Leigh Floyd, M.D.
• Ryan Paul Floyd, M.D.
• Leah Marie Fontana, PA-C
• Forensic Counseling Services
• James Michael Fowle, PHARMD
• Melinda Anne Fowler, PA-C
• Maria Fox, RN, LMT
• Christine Ann Francia, MS, PT

• Social Worker in Latrobe, PA
• Providers in Latrobe, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.