Active NPI
Northwest Tri-County Intermediate Unit
- Local Education Agency (LEA)
- Edinboro, PA
National Provider Identifier
1720960412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- NORTHWEST TRI-COUNTY INTERMEDIATE UNIT
- Practice address
- 252 Waterford St
Edinboro, PA 16412-2315 - Phone
- (814) 734-5610
- NPI assigned
- Jul 23, 2025
- Organization subpart
- Yes
- Parent organization
- NORTHWEST TRI-COUNTY INTERMEDIATE UNIT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Polivka
- Title
- Support Services Supervisor
- Phone
- (814) 734-5610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
252 Waterford St
Edinboro, PA 16412-2315
Mailing address
252 Waterford St
Edinboro, PA 16412-2315
Phone (814) 734-5610
Other names 1
- Northwest Tri-County IU5
National Provider Directory
National Provider Directory- Tax ID family
- Northwest Tri-County Intermediate Unit 5
- Part of
- Northwest Tri-County Intermediate Unit 5
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Edinboro, PA
- NPI 1396703146
-
- In Home Supportive Care Agency
- Edinboro, PA
- NPI 1548495005
-
- Early Intervention Provider Agency
- Edinboro, PA
- NPI 1669857876
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Local Education Agency (LEA)
- Edinboro, PA
- NPI 1396703146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753228800000",
"number": "1720960412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 WATERFORD ST",
"city": "EDINBORO",
"state": "PA",
"postal_code": "164122315",
"telephone_number": "814-734-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 WATERFORD ST",
"city": "EDINBORO",
"state": "PA",
"postal_code": "164122315",
"telephone_number": "814-734-5610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST TRI-COUNTY INTERMEDIATE UNIT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTHWEST TRI-COUNTY INTERMEDIATE UNIT",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A",
"authorized_official_last_name": "POLIVKA",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "SUPPORT SERVICES SUPERVISOR",
"authorized_official_telephone_number": "814-734-5610"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Northwest Tri-County IU5",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Edinboro, PA
- Lisa G Nathanson, OTR
- Taylor Neal, DOULA
- Cindy A Nicholson
- Joshua David Niedermeyer, MSW, LCSW
- Northwest Tri-County Intermediate Unit
- Northwest Tri-County Intermediate Unit # 5
- Northwest Tri-County Intermediate Unit # 5
- Jesse Daniel Oblinski, LPC
- Kelly A Ohmer, DPT
- Penelope P Orr, PH.D, LPC, ATR-BC,
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.