NPIMap

Organization Active NPI

Wyoming Valley Alcohol and Drug Services Inc

  • Addiction (Substance Use Disorder) Counselor
  • Wilkes Barre, PA
National Provider Identifier
1669568770
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
407024 Issued in PA
Legal business name
WYOMING VALLEY ALCOHOL AND DRUG SERVICES INC
Practice address
437 North Main St.
Wilkes Barre, PA 18705
Phone
(570) 820-8888
Fax
(570) 820-8899
NPI assigned
Oct 5, 2006
Last updated
Nov 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Jason Harlen, M.A.
Title
Ceo
Phone
(570) 820-8888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 401216 PA
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 407024 PA Primary

Addresses

Primary practice location

437 North Main St.
Wilkes Barre, PA 18705

Mailing address

437 North Main St
Wilkes Barre, PA 18705
Phone (570) 820-8888

National Provider Directory

National Provider Directory
Tax ID family
New Bridge Counseling5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

437 N Main St
Wilkes Barre, PA 18705
Phone (570) 820-8888

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1669568770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 NORTH MAIN ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "18705",
            "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": "437 NORTH MAIN ST.",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "18705",
            "telephone_number": "570-820-8888",
            "fax_number": "570-820-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING VALLEY ALCOHOL AND DRUG SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "HARLEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-820-8888",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "401216",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "407024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.