NPIMap

Organization Active NPI

Croyle-Nielsen Therapeutic Associates, Inc.

Doing business as C-Nta

  • Clinical Social Worker
  • Johnstown, PA
National Provider Identifier
1770928731
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CROYLE-NIELSEN THERAPEUTIC ASSOCIATES, INC.
Doing business as
C-Nta
Practice address
303 Budfield St
Johnstown, PA 15904-3213
Phone
(814) 266-3196
Fax
(814) 266-6296
NPI assigned
May 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Mrs. Amy Marie Nielsen
Title
President
Phone
(814) 266-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

303 Budfield St
Johnstown, PA 15904-3213

Mailing address

303 Budfield St
Johnstown, PA 15904-3213
Phone (814) 266-3196

Other practice location 1

485 Berlin Plank Rd
Somerset, PA 15501-2415
Phone (814) 701-2898

Other names 1

  • C-NTA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131106000088 PA Part B Supplier - Clinic/Group Practice 7214162916 Receives reassigned benefits from 2 practitioners
Practice locations: Johnstown, PA; Somerset, PA

National Provider Directory

National Provider Directory

Locations

485 Berlin Plank Rd
Somerset, PA 15501
Phone (814) 266-3196

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1367712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1770928731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BUDFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043213",
            "telephone_number": "814-266-3196",
            "fax_number": "814-266-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BUDFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043213",
            "telephone_number": "814-266-3196",
            "fax_number": "814-266-6296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 Berlin Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "PA",
            "postal_code": "155012415",
            "country_code": "US",
            "telephone_number": "814-701-2898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROYLE-NIELSEN THERAPEUTIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-05",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-266-2244",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C-NTA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.