NPIMap

Organization Active NPI

Northeast Counseling Services

  • Clinic/Center
  • Nanticoke, PA
National Provider Identifier
1881072999
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1007615710064 Issued in PA
Legal business name
NORTHEAST COUNSELING SERVICES
Practice address
24-26 East Broad St.
Nanticoke, PA 18634
Phone
(570) 735-7590
NPI assigned
May 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Fran Emershaw
Title
Ceo
Phone
(570) 735-7590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1007615710064 PA Primary

Addresses

Primary practice location

24-26 East Broad St.
Nanticoke, PA 18634

Mailing address

121 S Prospect St
Nanticoke, PA 18634-2456
Phone (570) 735-7590

Other identifiers 2

IdentifierTypeStateIssuer
1007615710064MedicaidPA
1007615710066MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Northeast Counseling Services53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1881072999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S PROSPECT ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186342456",
            "telephone_number": "570-735-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24-26 EAST BROAD ST.",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "18634",
            "telephone_number": "570-735-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "EMERSHAW",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-735-7590"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "1007615710064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710064",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007615710066",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanticoke, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.