NPIMap

Organization Active NPI

Alternative Community Resource Program, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Johnstown, PA
National Provider Identifier
1942398839
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
315680 Issued in PA
Legal business name
ALTERNATIVE COMMUNITY RESOURCE PROGRAM, INC.
Practice address
131 Market St
Johnstown, PA 15901-1628
Phone
(814) 535-2277
Fax
(814) 536-5431
NPI assigned
Oct 10, 2006
Last updated
Mar 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Authorized official

Name
Frank J Janakovic
Title
Executive Director
Phone
(814) 535-2277

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 315680 PA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 309250 PA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 315680 PA Primary
Psychologist 103T00000X 309250 PA
Community/Behavioral Health Agency 251S00000X 315680 PA
Community/Behavioral Health Agency 251S00000X 309250 PA
Community/Behavioral Health Agency 251S00000X 324550 PA

Addresses

Primary practice location

131 Market St
Johnstown, PA 15901-1628

Mailing address

131 Market St
Johnstown, PA 15901-1628
Phone (814) 535-2277

Other identifiers 2

IdentifierTypeStateIssuer
1007323280015MedicaidPA
001422061OtherPABCBS OF SW PA HIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050412000197 PA Part B Supplier - Clinic/Group Practice 0244277234 Receives reassigned benefits from 21 practitioners
Practice locations: Everett, PA; Somerset, PA; Seward, PA; Johnstown, PA; Ebensburg, PA; Altoona, PA

National Provider Directory

National Provider Directory

Locations

118 W High St
Ebensburg, PA 15931
Phone (814) 472-9330

Practitioners & affiliated clinicians

Practitioners 82

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 82

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1942398839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MARKET ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011628",
            "telephone_number": "814-535-2277",
            "fax_number": "814-536-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MARKET ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011628",
            "telephone_number": "814-535-2277",
            "fax_number": "814-536-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE COMMUNITY RESOURCE PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "JANAKOVIC",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-535-2277"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "315680",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "309250",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "315680",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "309250",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "315680",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "309250",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "324550",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007323280015",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF SW PA HIGHMARK",
            "identifier": "001422061",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.