Susquehanna Counseling Group, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS006992L Issued in PA

Legal business name

SUSQUEHANNA COUNSELING GROUP, INC.

Practice address

400 3Rd Ave Ste 214
Kingston, PA 18704-5816

Phone

(570) 283-1600

Fax

(570) 283-5515

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

John Shovlin, M.A.NPI 1447356852

Title

President

Phone

(570) 283-1600

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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

• Kathleen C. Atwell, LCSW, BCD

  • Clinical Social Worker
  • Kingston, PA
  • NPI 1477653905
  Medicare reassignment NPD
• John Shovlin, M.A.

  • Psychologist
  • Kingston, PA
  • NPI 1447356852
  NPD (past) Authorized official
• Dennis C. Gold, PH.D.

  • Psychologist
  • Dallas, PA
  • NPI 1528159613
  NPD (past)
• Lori Austin, LCSW

  • Clinical Social Worker
  • Kittery Point, ME
  • NPI 1962697896
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1790894749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 3RD AVE STE 214",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045816",
            "telephone_number": "570-283-1600",
            "fax_number": "570-283-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 3RD AVE STE 214",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045816",
            "telephone_number": "570-283-1600",
            "fax_number": "570-283-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA COUNSELING GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "SHOVLIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-283-1600",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006992L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP #",
            "identifier": "SU539129",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4657272",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Jayne Stevens, OD
• Jill Marie Stevens, RDN
• Gary Michael Stubbs, MA, LBS, BCBA
• Susan F Sordoni, MD, PC
• Susan F. Sordoni, MD PC
• Ashley Taylor Swanson, MSOTR/L
• Ashley Nicole Swantek, PTA
• Lorraine A Symons, PTA
• Robert George Szulborski, MD
• Joseph J Szustak, DO

• Psychologist in Kingston, PA
• Providers in Kingston, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.