Organization Active NPI

Mosaic Counseling Collaborative

  • Mental Health Counselor
  • Pittston, PA
National Provider Identifier
1922808237
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOSAIC COUNSELING COLLABORATIVE
Practice address
103 New St
Pittston, PA 18640-2123
Phone
(570) 536-0510
NPI assigned
Mar 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Tara Lyn Ahearn Simington, LPCNPI 1578275145
Title
Co-Owner
Phone
(570) 536-0510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

103 New St
Pittston, PA 18640-2123

Mailing address

103 New St
Pittston, PA 18640-2123
Phone (570) 536-0510

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1922808237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NEW ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186402123",
            "telephone_number": "570-536-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 NEW ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186402123",
            "telephone_number": "570-536-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC COUNSELING COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-16",
        "status": "A",
        "authorized_official_last_name": "AHEARN SIMINGTON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "570-536-0510",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.