Organization Active NPI

Grasta Counseling Services, LLC

  • Adult Mental Health Clinic/Center
  • Scranton, PA
National Provider Identifier
1780291062
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GRASTA COUNSELING SERVICES, LLC
Practice address
321 Biden St Ste 502
Scranton, PA 18503-1445
Phone
(570) 209-8946
Fax
(570) 276-3797
NPI assigned
Sep 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Dr. Margaret M Mahoney, LPCNPI 1386035608
Title
Counselor
Phone
(320) 300-4811

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

321 Biden St Ste 502
Scranton, PA 18503-1445

Mailing address

321 Biden St Ste 502
Scranton, PA 18503-1445
Phone (570) 209-8946

Other identifiers 1

IdentifierTypeStateIssuer
7094926OtherPASTATE IDENTITY NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.grastacounselingservices.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240102000365 PA Part B Supplier - Clinic/Group Practice 3173973385 Receives reassigned benefits from 1 practitioner
Practice locations: Scranton, PA

National Provider Directory

National Provider Directory

Locations

321 Biden St
Ste 502
Scranton, PA 18503
Phone (570) 209-8946

Practitioners & affiliated clinicians

Practitioners 3

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": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1780291062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 BIDEN ST STE 502",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031445",
            "telephone_number": "570-209-8946",
            "fax_number": "570-276-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BIDEN ST STE 502",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031445",
            "telephone_number": "570-209-8946",
            "fax_number": "570-276-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASTA COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "320-300-4811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE IDENTITY NUMBER",
            "identifier": "7094926",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.grastacounselingservices.com",
            "affiliation": "N",
            "address_1": "321 Spruce St Ste 502",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185031445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Feb 2, 2024; 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.