NPIMap

Organization Active NPI

Mental Health Associates of North Central PA

  • Clinic/Center
  • Towanda, PA
National Provider Identifier
1881765527
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
087021 Issued in PA
Legal business name
MENTAL HEALTH ASSOCIATES OF NORTH CENTRAL PA
Practice address
21 Main St
Towanda, PA 18848-1803
Phone
(570) 265-2525
Fax
(570) 265-1075
NPI assigned
Nov 13, 2006
Last updated
Mar 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Miss Renee Lynn Casselbury
Title
Business Manager
Phone
(570) 265-2525

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 087022 PA
Public Health or Welfare Agency 251K00000X 087021 PA
Clinic/Center 261Q00000X 087022 PA
Clinic/Center 261Q00000X 087021 PA Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 087021 PA
Adult Mental Health Clinic/Center 261QM0850X 087021 PA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 087021 PA
Counselor 101Y00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X 087021 PA
Mental Health Counselor 101YM0800X NU
Community/Behavioral Health Agency 251S00000X 087021 PA

Addresses

Primary practice location

21 Main St
Towanda, PA 18848-1803

Mailing address

21 Main St
Towanda, PA 18848-1803
Phone (570) 265-2525

Other identifiers 1

IdentifierTypeStateIssuer
1007444270008MedicaidPA

National Provider Directory

National Provider Directory

Locations

21 Main St
Towanda, PA 18848
Phone (570) 265-2525

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1881765527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188481803",
            "telephone_number": "570-265-2525",
            "fax_number": "570-265-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188481803",
            "telephone_number": "570-265-2525",
            "fax_number": "570-265-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATES OF NORTH CENTRAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "CASSELBURY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "570-265-2525",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "087022",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "087021",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "087022",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "087021",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "087021",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "087021",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "087021",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "087021",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "087021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007444270008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towanda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.