NPIMap

Organization Active NPI

Community Guidance Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Du Bois, PA
National Provider Identifier
1871924084
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COMMUNITY GUIDANCE CENTER
Practice address
490 Jeffers St
Du Bois, PA 15801-2438
Phone
(814) 371-1100
Fax
(724) 465-6379
NPI assigned
Dec 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Mr. Darrin Mikula
Title
Cfo
Phone
(724) 465-5576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

490 Jeffers St
Du Bois, PA 15801-2438

Mailing address

793 Old Route 119 Hwy N
Indiana, PA 15701-1372
Phone (724) 465-5576

National Provider Directory

National Provider Directory
Tax ID family
Community Guidance Center33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1871924084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 OLD ROUTE 119 HWY N",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011372",
            "telephone_number": "724-465-5576",
            "fax_number": "724-465-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 JEFFERS ST",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012438",
            "telephone_number": "814-371-1100",
            "fax_number": "724-465-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY GUIDANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "MIKULA",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-465-5576",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.