Organization Active NPI

Safety Net Counseling, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Mount Carmel, PA
National Provider Identifier
1861572323
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
309920 Issued in PA
Legal business name
SAFETY NET COUNSELING, INC
Practice address
100 N Vine St
Mount Carmel, PA 17851-1342
Phone
(570) 339-1119
Fax
(570) 339-2824
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Mr. John J Palovick
Title
Ceo
Phone
(570) 339-1119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 309920 PA Primary

Addresses

Primary practice location

100 N Vine St
Mount Carmel, PA 17851-1342

Mailing address

100 N Vine St
Mount Carmel, PA 17851-1342
Phone (570) 339-1119

Other identifiers 1

IdentifierTypeStateIssuer
100733684MedicaidPA

National Provider Directory

National Provider Directory

Locations

100 N Vine St
Mount Carmel, PA 17851
Phone (570) 339-1119

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1861572323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N VINE ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178511342",
            "telephone_number": "570-339-1119",
            "fax_number": "570-339-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N VINE ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178511342",
            "telephone_number": "570-339-1119",
            "fax_number": "570-339-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFETY NET COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "PALOVICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-339-1119",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "309920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100733684",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Carmel, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.