Active NPI
Crisis Recovery Network
- Professional Counselor
- Harrisburg, PA
National Provider Identifier
1710347513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008745
- Legal business name
- CRISIS RECOVERY NETWORK
- Practice address
- 419 Radcliffe Dr
Harrisburg, PA 17109-5459 - Phone
- (718) 503-1309
- NPI assigned
- Mar 7, 2016
- Last updated
- Mar 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Joseph Sutton, LPC, CAADC
- Title
- Professional Counselor
- Phone
- (718) 503-1309
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC008745 | PA | Primary |
Addresses
Primary practice location
419 Radcliffe Dr
Harrisburg, PA 17109-5459
Mailing address
419 Radcliffe Dr
Harrisburg, PA 17109-5459
Phone (718) 503-1309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 N Cameron St
Ste 304
Harrisburg, PA 17101
Phone (717) 839-3427
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Professional Counselor
- Harrisburg, PA
- NPI 1154781862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457308800000",
"number": "1710347513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 RADCLIFFE DR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171095459",
"telephone_number": "718-503-1309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 RADCLIFFE DR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171095459",
"telephone_number": "718-503-1309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRISIS RECOVERY NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-07",
"last_updated": "2016-03-07",
"status": "A",
"authorized_official_last_name": "SUTTON",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "718-503-1309",
"authorized_official_credential": "LPC, CAADC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.