Active NPI
Omni Health Services, Inc.
- Counselor
- Easton, PA
National Provider Identifier
1871911883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- OMNI HEALTH SERVICES, INC.
- Practice address
- 2100 Ferry St Lowr Level
Easton, PA 18042-3815 - Phone
- (610) 250-9300
- NPI assigned
- Apr 7, 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
- Michael Thevar, LSW
- Title
- President
- Phone
- (215) 997-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2100 Ferry St Lowr Level
Easton, PA 18042-3815
Mailing address
PO Box 454
Montgomeryville, PA 18936-0454
Phone (215) 997-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020016630018 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Omni Health Services Inc
Other organizations with this tax ID 23
Organizations that report the same tax identification number in the National Provider Directory.
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- Peer Specialist
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- Peer Specialist
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- Mental Health Clinic/Center (Including Community Mental Health Center)
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- Peer Specialist
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- Mental Health Clinic/Center (Including Community Mental Health Center)
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- NPI 1174289524
Locations
2100 Ferry St
Lowr
Easton, PA 18042
Phone (610) 250-9300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638144000000",
"number": "1871911883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 454",
"city": "MONTGOMERYVILLE",
"state": "PA",
"postal_code": "189360454",
"telephone_number": "215-997-2000",
"fax_number": "215-997-2282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 FERRY ST LOWR LEVEL",
"city": "EASTON",
"state": "PA",
"postal_code": "180423815",
"telephone_number": "610-250-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNI HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-07",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A",
"authorized_official_last_name": "THEVAR",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-997-2000",
"authorized_official_credential": "LSW"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020016630018",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.