Active NPI
Bethel Elaine Sucro, LPC
- Professional Counselor
- Tannersville, PA
National Provider Identifier
1942366497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC002830
- Practice address
- RR1 Route 611
Tannersville, PA 18372 - Phone
- (570) 236-8944
- Fax
- (570) 629-8408
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC002830 | PA | Primary |
Addresses
Primary practice location
RR1 Route 611
Tannersville, PA 18372
Mailing address
238 Recreation Dr
Effort, PA 18330-9038
Phone (570) 236-8944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
51 Market St
Bangor, PA 18013-1901
Phone (610) 588-9109
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Services | Professional | Current | Accepting new patients |
Locations
51 Market St
Bangor, PA 18013
Phone (610) 588-9109
1708 Washington Blvd
Ste 102
Easton, PA 18042
Phone (610) 252-2000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bangor, PA
- NPI 1457386328
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942366497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 RECREATION DR",
"city": "EFFORT",
"state": "PA",
"postal_code": "183309038",
"telephone_number": "570-236-8944",
"fax_number": "570-629-8408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR1 ROUTE 611",
"city": "TANNERSVILLE",
"state": "PA",
"postal_code": "18372",
"telephone_number": "570-236-8944",
"fax_number": "570-629-8408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUCRO",
"first_name": "BETHEL",
"middle_name": "ELAINE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC002830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tannersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.