NPIMap

Organization Active NPI

Counselling Services Center of Southeastern Erie County, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Corry, PA
National Provider Identifier
1952510232
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
COUNSELLING SERVICES CENTER OF SOUTHEASTERN ERIE COUNTY, INC.
Practice address
45 E Washington St
Corry, PA 16407-1638
Phone
(814) 664-7761
Fax
(814) 664-4020
NPI assigned
May 22, 2007
Last updated
Jul 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Janet Wittmann
Title
Cfo
Phone
(814) 720-1058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

45 E Washington St
Corry, PA 16407-1638

Mailing address

45 E Washington St
Corry, PA 16407-1638

Other identifiers 1

IdentifierTypeStateIssuer
1000025270001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Counselling Services Center of Southeastern Erie County Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1952510232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E WASHINGTON ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E WASHINGTON ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071638",
            "telephone_number": "814-664-7761",
            "fax_number": "814-664-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELLING SERVICES CENTER OF SOUTHEASTERN ERIE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "WITTMANN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-720-1058"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000025270001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corry, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.