Organization Active NPI

Casey Recovery LLC

  • Addiction (Substance Use Disorder) Counselor
  • Wilkes Barre, PA
National Provider Identifier
1699444992
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
CASEY RECOVERY LLC
Practice address
26 Hill St
Wilkes Barre, PA 18702-4924
Phone
(570) 371-3433
NPI assigned
Sep 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Ms. Judith Marita Blankenship, BA
Title
Project Director
Phone
(570) 371-3433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

26 Hill St
Wilkes Barre, PA 18702-4924

Mailing address

26 Hill St
Wilkes Barre, PA 18702-4924
Phone (570) 371-3433

National Provider Directory

National Provider Directory

Locations

26 Hill St
Wilkes Barre, PA 18702
Phone (570) 371-3433

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1699444992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 HILL ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187024924",
            "telephone_number": "570-371-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 HILL ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187024924",
            "telephone_number": "570-371-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEY RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "MARITA",
        "authorized_official_title_or_position": "PROJECT DIRECTOR",
        "authorized_official_telephone_number": "570-371-3433",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "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 Sep 13, 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.