Heather Darby Stube, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CW015047 Issued in PA

Practice address

315 S Allen St Ste 326
State College, PA 16801-4851

Phone

(814) 308-0704

Fax

(814) 308-0705

NPI assigned

Mar 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centre Counseling and Wellness LLCGroup PAC ID 8527413400, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centre Counseling and Wellness, LLC

  • Mental Health Counselor
  • State College, PA
  • NPI 1033650932
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1679276919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 STARR ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603612",
            "telephone_number": "610-563-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S ALLEN ST STE 326",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014851",
            "telephone_number": "814-308-0704",
            "fax_number": "814-308-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBE",
        "first_name": "HEATHER",
        "middle_name": "DARBY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW015047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Strawberry Fields, Inc
• Kimberly Strickland, ARNP
• Gary Stroschein
• Stephanie Ina Mary Struble, PA-C
• Richard Allen Stuart, DED
• Lauren Sullivan
• Leslie H Sullivan, MS, NCC
• Scott A. Sulman, D.O.
• Summit Chiropractic and Wellness LLC
• Summit Chiropractic Clinic

• Mental Health Counselor in State College, PA
• Providers in State College, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.