Organization Active NPI

Supports Coordination Group, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Ephrata, PA
National Provider Identifier
1649849043
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SUPPORTS COORDINATION GROUP, LLC
Practice address
107 E Locust St
Ephrata, PA 17522-2717
Phone
(844) 952-7296
NPI assigned
Jun 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Emily KramerNPI 1184217556
Title
D&a Project Manager
Phone
(717) 314-9514

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
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

107 E Locust St
Ephrata, PA 17522-2717

Mailing address

107 E Locust St
Ephrata, PA 17522-2717
Phone (717) 314-9514

Other names 1

  • PA Health Management Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dap@pahm.org

National Provider Directory

National Provider Directory

Locations

107 E Locust St
Ephrata, PA 17522
Phone (717) 394-5334

Practitioners & affiliated clinicians

Practitioners 1

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": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1649849043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E LOCUST ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222717",
            "telephone_number": "717-314-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E LOCUST ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222717",
            "telephone_number": "844-952-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTS COORDINATION GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "D&A PROJECT MANAGER",
        "authorized_official_telephone_number": "717-314-9514"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dap@pahm.org",
            "affiliation": "N",
            "endpointDescription": "Direct E-mail to D&A Program",
            "address_1": "107 E Locust St",
            "city": "Ephrata",
            "state": "PA",
            "country_code": "US",
            "postal_code": "175222717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PA Health Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.