NPIMap

Organization Active NPI

Holistic Therapeutic Outreach Services, LLC

  • Social Worker
  • Lansford, PA
National Provider Identifier
1821369000
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW128930 Issued in PA
Legal business name
HOLISTIC THERAPEUTIC OUTREACH SERVICES, LLC
Practice address
50 W Ridge St
Lansford, PA 18232-1342
Phone
(570) 805-4711
NPI assigned
Jan 20, 2012
Last updated
Jan 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Jonathan M Rodgers, MSW, LSW
Title
Secretary/Treasurer
Phone
(610) 577-6092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW128930 PA Primary

Addresses

Primary practice location

50 W Ridge St
Lansford, PA 18232-1342

Mailing address

50 W Ridge St
Lansford, PA 18232-1342
Phone (570) 805-4711

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1821369000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W RIDGE ST",
            "city": "LANSFORD",
            "state": "PA",
            "postal_code": "182321342",
            "telephone_number": "570-805-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W RIDGE ST",
            "city": "LANSFORD",
            "state": "PA",
            "postal_code": "182321342",
            "telephone_number": "570-805-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC THERAPEUTIC OUTREACH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "610-577-6092",
        "authorized_official_credential": "MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW128930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.