NPIMap

Organization Active NPI

Tri County Human Services Center Inc

Doing business as Maxis Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carbondale, PA
National Provider Identifier
1912966805
Registry record updated Mar 20, 2008
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
TRI COUNTY HUMAN SERVICES CENTER INC
Doing business as
Maxis Counseling
Practice address
185 Fallbrook St
Carbondale, PA 18407-0514
Phone
(570) 282-1732
Fax
(570) 282-6808
NPI assigned
Mar 21, 2006
Last updated
Mar 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
TRICOUNTY HUMAN SERVICES CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Mr. Spencer A Moore
Title
Executive Director
Phone
(570) 282-1732

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Early Intervention Provider Agency 252Y00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

185 Fallbrook St
Carbondale, PA 18407-0514

Mailing address

185 Fallbrook St
Carbondale, PA 18407-0514
Phone (570) 282-1732

Other names 1

  • Maxis Counseling Doing business as

National Provider Directory

National Provider Directory
Part of
Tri County Human Servic

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1912966805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 FALLBROOK ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184070514",
            "telephone_number": "570-282-1732",
            "fax_number": "570-282-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 FALLBROOK ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184070514",
            "telephone_number": "570-282-1732",
            "fax_number": "570-282-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY HUMAN SERVICES CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRICOUNTY HUMAN SERVICES CENTER INC.",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-282-1732",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maxis Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carbondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.