NPIMap

Organization Active NPI

Harbor Counseling

  • Addiction (Substance Use Disorder) Counselor
  • Wellsboro, PA
National Provider Identifier
1699754424
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
597013 Issued in PA
Legal business name
HARBOR COUNSELING
Practice address
7095 Route 287
Wellsboro, PA 16901-6711
Phone
(570) 724-5272
Fax
(570) 724-4512
NPI assigned
Jan 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Laurie Sue Roof
Title
Project Director
Phone
(570) 724-5272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 597013 PA Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 597013 PA

Addresses

Primary practice location

7095 Route 287
Wellsboro, PA 16901-6711

Mailing address

7095 Route 287
Wellsboro, PA 16901-6711
Phone (570) 724-5272

Other identifiers 3

IdentifierTypeStateIssuer
0016666180003MedicaidPA
994520OtherPABLUE CROSS PROVIDER ID
664069OtherPAVALUEOPTIONS ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170913000721 PA Part B Supplier - Clinic/Group Practice 3779856786 Receives reassigned benefits from 2 practitioners
Practice locations: Wellsboro, PA

National Provider Directory

National Provider Directory

Locations

7095 Route 287
Wellsboro, PA 16901
Phone (570) 724-5272

Practitioners & affiliated clinicians

Practitioners 8

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": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1699754424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7095 ROUTE 287",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169016711",
            "telephone_number": "570-724-5272",
            "fax_number": "570-724-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 ROUTE 287",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169016711",
            "telephone_number": "570-724-5272",
            "fax_number": "570-724-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "ROOF",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PROJECT DIRECTOR",
        "authorized_official_telephone_number": "570-724-5272"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "597013",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "597013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016666180003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "994520",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS ID",
            "identifier": "664069",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.