Shadrach Counseling Center, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SHADRACH COUNSELING CENTER, INC

Practice address

2001 Bedford St
Johnstown, PA 15904-1096

Phone

(814) 241-0047

NPI assigned

Sep 18, 2018

Organization subpart

No

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

Authorized official

Name

Kris A CanfieldNPI 1194387589

Title

Ceo

Phone

(814) 236-7406

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kris Ann Canfield, LPN

  • Licensed Practical Nurse
  • Johnstown, PA
  • NPI 1194387589
  NPD (past) Authorized official
• Dana R Canfield, BS

  • Counselor
  • Johnstown, PA
  • NPI 1881256022
  NPD (past)

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1922582626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15176 TYRONE PIKE",
            "city": "CURWENSVILLE",
            "state": "PA",
            "postal_code": "168338319",
            "telephone_number": "814-236-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 BEDFORD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041096",
            "telephone_number": "814-241-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADRACH COUNSELING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "CANFIELD",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-236-7406"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Deanne Sferro, PT
• Howard A Shacklock Jr., MS
• Christopher Shadid
• Janet A Shadid, LSW
• Stephen Shadid, PHARMD
• Ashley P Shaffer, LSW
• Denise Elizabeth Shaffer, D.ED., LPC, NCC
• Janessa Shaffer, BCBA
• Michelle Shaffer
• Sally Shaffer, LPC

• Clinic/Center in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.