Active NPI
Safety Net Counseling, Inc
- Adolescent and Children Mental Health Clinic/Center
- Mount Carmel, PA
National Provider Identifier
1861572323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- License
- 309920
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100733684 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Pottsville, PA
- NPI 1417933045
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
- Psych Consultants of Lehigh Valley
- Psychological Consulatants
- Psychological Consultants
- Alyssa Marie Randall, NCC, LPC
- Rcaa Health Services, Inc. (Addiction Help Center)
- Allan A Santarelli, M.A.
- Rebecca Susanna Schu, M.S. CCC-SLP
- Secure Health, LP (Mount Carmel Outpatient Rehab Clinic)
- Shannon Sinko
- Crystal Snyder, BA OF PSYCHOLOGY
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.