Comprehensive Behavioral Health Support LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COMPREHENSIVE BEHAVIORAL HEALTH SUPPORT LLC

Practice address

260 Reitz Blvd Ste 1B
Lewisburg, PA 17837-9220

Phone

(570) 880-0005

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Louise Rushton, LCSWNPI 1689835704

Title

Owner/Authorized Official

Phone

(570) 880-0005

Specialties & licenses 1

Addresses

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.

• Stephanie Louise Rushton, LCSW

  • Clinical Social Worker
  • Milton, PA
  • NPI 1689835704
  Medicare reassignment Care Compare group NPD Authorized official
• Leon Supsic Jr., MSW, LCSW

  • Clinical Social Worker
  • Elysburg, PA
  • NPI 1679275598
  Medicare reassignment Care Compare group NPD
• Naomi Baker

  • Social Worker
  • Milton, PA
  • NPI 1780578393
  NPD
• Cole Davis

  • Social Worker
  • Milton, PA
  • NPI 1760322127
  NPD (past)

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1831860915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 REITZ BLVD STE 1B",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379220",
            "telephone_number": "570-880-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 REITZ BLVD STE 1B",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379220",
            "telephone_number": "570-880-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE BEHAVIORAL HEALTH SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "RUSHTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "570-880-0005",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyleen Coconougher
• Charles L Cole Jr., MD
• Cheer Beulah Cole, MS OTRL
• Robert Cole, PA-C
• Susan M Colon, MSED, BA
• Concern-Professional Service for Children, Youth & Families
• Concern-Professional Services for Children, Youth, & Families
• Christopher Charles Connacher
• Kyle Connaghan
• Brian James Connolly, M.D.

• Clinical Social Worker in Lewisburg, PA
• Providers in Lewisburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.