NPIMap

Organization Active NPI

Nanticoke Counseling Services PC

  • Professional Counselor
  • Nanticoke, PA
National Provider Identifier
1831550599
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC002979 Issued in PA
Legal business name
NANTICOKE COUNSELING SERVICES PC
Practice address
35 E Green St
Nanticoke, PA 18634-2414
Phone
(570) 762-2583
Fax
(570) 300-2629
NPI assigned
Mar 9, 2016
Last updated
Mar 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Mr. William Robert Killgore Jr., M.A.NPI 1639221237
Title
President/Ceo
Phone
(570) 762-2583

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X PC002979 PA Primary

Addresses

Primary practice location

35 E Green St
Nanticoke, PA 18634-2414

Mailing address

35 E Green St
Nanticoke, PA 18634-2414
Phone (570) 762-2583

National Provider Directory

National Provider Directory

Locations

480 Pierce St
Ste 111
Kingston, PA 18704
Phone (570) 287-6367

35 E Green St
Nanticoke, PA 18634
Phone (570) 735-1205

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1831550599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E GREEN ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186342414",
            "telephone_number": "570-762-2583",
            "fax_number": "570-300-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E GREEN ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186342414",
            "telephone_number": "570-762-2583",
            "fax_number": "570-300-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANTICOKE COUNSELING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "KILLGORE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "570-762-2583",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanticoke, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.