Active NPI
E. Nightingale Enterprises, Inc.
Doing business as Open Door Workplace Counseling Initiatives
- Social Worker
- Broadheadsville, PA
National Provider Identifier
1861589079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW012506L
- Legal business name
- E. NIGHTINGALE ENTERPRISES, INC.
- Doing business as
- Open Door Workplace Counseling Initiatives
- Practice address
- 710 Frable Road
Broadheadsville, PA 18322 - Phone
- (570) 764-4706
- Fax
- (570) 402-2056
- NPI assigned
- Oct 7, 2006
- Last updated
- Mar 4, 2014
- 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
- Ellyn Kravette, LSW, CADC, CEAP
- Title
- President/Clinician
- Phone
- (570) 764-4706
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW012506L | PA | Primary |
Addresses
Primary practice location
710 Frable Road
Broadheadsville, PA 18322
Mailing address
710 Frable Road
Broadheadsville, PA 18322
Phone (570) 764-4706
Other names 1
- Open Door Workplace Counseling Initiatives
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Brodheadsville, PA
- NPI 1972696664
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393891200000",
"number": "1861589079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 FRABLE ROAD",
"city": "BROADHEADSVILLE",
"state": "PA",
"postal_code": "18322",
"telephone_number": "570-764-4706",
"fax_number": "570-402-2056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 FRABLE ROAD",
"city": "BROADHEADSVILLE",
"state": "PA",
"postal_code": "18322",
"telephone_number": "570-764-4706",
"fax_number": "570-402-2056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "E. NIGHTINGALE ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-07",
"last_updated": "2014-03-04",
"status": "A",
"authorized_official_last_name": "KRAVETTE",
"authorized_official_first_name": "ELLYN",
"authorized_official_title_or_position": "PRESIDENT/CLINICIAN",
"authorized_official_telephone_number": "570-764-4706",
"authorized_official_credential": "LSW, CADC, CEAP"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW012506L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Open Door Workplace Counseling Initiatives",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Broadheadsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.