NPIMap

Organization Active NPI

Northeast Counseling Services

  • Adult Mental Health Clinic/Center
  • Hazleton, PA
National Provider Identifier
1740447648
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
1007615710021 Issued in PA
Legal business name
NORTHEAST COUNSELING SERVICES
Practice address
750 E Broad St
Hazleton, PA 18201-6835
Phone
(570) 455-6385
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Ed Abdo Jr., LSW
Title
Executive Director
Phone
(570) 735-7590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 1007615710021 PA Primary

Addresses

Primary practice location

750 E Broad St
Hazleton, PA 18201-6835

Mailing address

750 E Broad St
Hazleton, PA 18201-6835
Phone (570) 455-6385

Other identifiers 1

IdentifierTypeStateIssuer
1007615710021MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Northeast Counseling Services53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1740447648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "570-455-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "570-455-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "ABDO",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-735-7590",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "1007615710021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710021",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.