Active NPI
Judith Ann Popso, MS, CRC
- Rehabilitation Counselor
- Scranton, PA
National Provider Identifier
1790097566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- 00101829
- Practice address
- 714 Marion St
Scranton, PA 18509-2340 - Phone
- (570) 963-0658
- NPI assigned
- Jul 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | |||
| Rehabilitation Counselor | 225C00000X | 00101829 | PA | Primary |
Addresses
Primary practice location
714 Marion St
Scranton, PA 18509-2340
Mailing address
16515 88TH Ave
Jamaica, NY 11432-4113
Phone (570) 963-0658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00101829 | PA | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1790097566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16515 88TH AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114324113",
"telephone_number": "570-963-0658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 MARION ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185092340",
"telephone_number": "570-963-0658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPSO",
"first_name": "JUDITH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MS, CRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-09",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "PA",
"license": "00101829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.