Advanced Community Service Associates

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ADVANCED COMMUNITY SERVICE ASSOCIATES

Practice address

1141 Clay Ave
Dunmore, PA 18510-1191

Phone

(570) 207-7919

Fax

(570) 963-1953

NPI assigned

Jan 16, 2007

Last updated

Jan 11, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

SCRANTON COUNSELING CENTERAs reported in NPPES

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

Authorized official

Name

John E Bakes

Title

Deputy Director

Phone

(570) 348-6100

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Scranton Counseling Cen

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Scranton Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Scranton, PA
  • NPI 1629005764

  Member Of

  NPD member

Practitioners 4

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.

• Jeffrey Ira Blau, MSW LCSW

  • Clinical Social Worker
  • Scranton, PA
  • NPI 1740356625
  NPD (past)
• Marla Crea Farrell, M.D.

  • Pediatrics Physician
  • Scranton, PA
  • NPI 1356687982
  NPD (past)
• Pamela J Olson, LCSW

  • Clinical Social Worker
  • Mount Pocono, PA
  • NPI 1720097199
  NPD (past)
• Christine Merriman, MSW, LCSW

  • Clinical Social Worker
  • Santa Cruz, CA
  • NPI 1962748293
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1851442586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 CLAY AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185101191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 CLAY AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185101191",
            "telephone_number": "570-207-7919",
            "fax_number": "570-963-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COMMUNITY SERVICE ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCRANTON COUNSELING CENTER",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "BAKES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "570-348-6100"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007706410012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A T Mercuri DPM
• Emily Ackourey, LSW
• Suman Adhikari, M.B.B.S
• Advanced Chiropractic and Rehabilitation, Inc
• Advanced Home Health Care Specialists, Inc.
• Affinity Psychotherapy Associates LLC
• Airwaze LLC
• Elizabeth Alapic, LAPC
• Mark Albert, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.