Fellowship House LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

FELLOWSHIP HOUSE LLC

Doing business as

Fellowship House

Practice address

1736 Sanderson Ave
Scranton, PA 18509-1853

Phone

(570) 382-8157

Fax

(785) 262-8423

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Catherine Marie Briegel, CPB, CMRS

Title

Director of Billing

Phone

(570) 881-4403

Specialties & licenses 2

Addresses

Other names 1

• Fellowship House Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Jonathan T Blake, LSW

  • Social Worker
  • Olyphant, PA
  • NPI 1154108439
  NPD

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1770208571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 SANDERSON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091853",
            "telephone_number": "570-382-8157",
            "fax_number": "845-262-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 SANDERSON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091853",
            "telephone_number": "570-382-8157",
            "fax_number": "785-262-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "BRIEGEL",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "570-881-4403",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPB, CMRS"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fellowship House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tasneem Fatima, M.D.
• Graceanne Fazio
• Michael F Fedele, DMD
• Mary Shannon Feeney, R.D., LDN
• Natasha Brooke Feidt
• Kristen Catherine Fenocchi, M.D.
• Ferdinand J Manahan MD LLC
• Alejandro Fernando, PA-C
• Ralph B Ferraro
• Lidia Castao Fetfatzes

• Substance Use Disorder Rehabilitation Clinic/Center in Scranton, PA
• Providers in Scranton, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.