Individual provider Active NPI

Mary Helen Moran

  • Mental Health Counselor
  • Scranton, PA
National Provider Identifier
1720140254
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC002354 Issued in PA
Practice address
1021 Moosic St
Scranton, PA 18505-4550
Phone
(570) 961-3361
Fax
(570) 961-3364
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC002354 PA Primary

Addresses

Primary practice location

1021 Moosic St
Scranton, PA 18505-4550

Mailing address

1021 Moosic St
Scranton, PA 18505-4550
Phone (570) 961-3361

Other names 1

  • Mary Helen Yatko Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240321001430 PA Practitioner - Mental Health Counselor 4981091451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling and Wellness Center of Scranton LLCGroup PAC ID 3072900547, 7 clinicians

Practice addresses (Care Compare)

1021 Moosic St
Apt 1
Scranton, PA 18505-4550
Phone (570) 961-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling & Wellness Center of Scranton LLC CurrentSince Jan 1, 2024 Accepting new patients
John G Kuna Psy D & Associates LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1720140254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 MOOSIC ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185054550",
            "telephone_number": "570-961-3361",
            "fax_number": "570-961-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MOOSIC ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185054550",
            "telephone_number": "570-961-3361",
            "fax_number": "570-961-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MARY HELEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC002354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY HELEN",
            "last_name": "YATKO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.