NPIMap

Organization Active NPI

Puglisi Counseling LLC

  • Clinical Social Worker
  • Scranton, PA
National Provider Identifier
1760140784
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PUGLISI COUNSELING LLC
Practice address
201 Lackawanna Ave Ste 316
Scranton, PA 18503-1953
Phone
(570) 766-0772
NPI assigned
Dec 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Brandon J Puglisi, LCSWNPI 1528655529
Title
Owner
Phone
(570) 766-0772

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

201 Lackawanna Ave Ste 316
Scranton, PA 18503-1953

Mailing address

2307 Winfield Ave
Scranton, PA 18505-3415
Phone (570) 766-0772

Other practice location 1

712 S Keyser Ave
Taylor, PA 18517-9612
Phone (570) 766-0772

Other names 1

  • Brandon Puglisi, LCSW Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220405000033 PA Part B Supplier - Clinic/Group Practice 6507252327 Receives reassigned benefits from 12 practitioners
Practice locations: Scranton, PA; Taylor, PA

National Provider Directory

National Provider Directory

Locations

201 Lackawanna Ave
Ste 316
Scranton, PA 18503
Phone (570) 766-0772

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1760140784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 WINFIELD AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053415",
            "telephone_number": "570-766-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LACKAWANNA AVE STE 316",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031953",
            "telephone_number": "570-766-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 S Keyser Ave",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "PA",
            "postal_code": "185179612",
            "country_code": "US",
            "telephone_number": "570-766-0772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUGLISI COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "PUGLISI",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-766-0772",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandon Puglisi, LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brandon Puglisi, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.