NPIMap

Organization Active NPI

Pennsylvania Counseling Services Inc.

  • Counselor
  • Lebanon, PA
National Provider Identifier
1669474979
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PENNSYLVANIA COUNSELING SERVICES INC.
Practice address
200 N 7TH St
Lebanon, PA 17046-5040
Phone
(717) 273-1710
Fax
(717) 273-1416
NPI assigned
Jun 1, 2005
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Dena Brewer, AA
Title
Director of Managed Care
Phone
(717) 273-1710

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Counselor 101Y00000X Primary

Addresses

Primary practice location

200 N 7TH St
Lebanon, PA 17046-5040

Mailing address

200 N 7TH St
Lebanon, PA 17046-5040
Phone (717) 273-1710

Other identifiers 1

IdentifierTypeStateIssuer
100775512MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040512001114 PA Part B Supplier - Clinic/Group Practice 1355331471 Receives reassigned benefits from 88 practitioners
Practice locations: Chambersburg, PA; Lebanon, PA

National Provider Directory

National Provider Directory
Tax ID family
Pennsylvania Counseling Services Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

75 S Main St
Chambersburg, PA 17201
Phone (717) 261-1426

6079 Main St
East Petersburg, PA 17520
Phone (717) 560-1908

223 Baltimore St
Gettysburg, PA 17325
Phone (717) 337-0026

632 Cumberland St
Lebanon, PA 17042
Phone (717) 273-1710

125 S 5th St
Reading, PA 19602
Phone (610) 685-2188

125 S 5th St
Ste 2
Reading, PA 19602
Phone (610) 320-5440

Practitioners & affiliated clinicians

Practitioners 480

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.

View all 480

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1669474979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 7TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170465040",
            "telephone_number": "717-273-1710",
            "fax_number": "717-273-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 7TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170465040",
            "telephone_number": "717-273-1710",
            "fax_number": "717-273-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA COUNSELING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "717-273-1710",
        "authorized_official_credential": "AA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100775512",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.