NPIMap

Organization Active NPI

Lehigh County MHMR Program

  • Case Manager/Care Coordinator
  • Allentown, PA
National Provider Identifier
1962550590
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
LEHIGH COUNTY MHMR PROGRAM
Practice address
17 S 7TH St
Lehigh County GVMT Center
Allentown, PA 18101-2401
Phone
(610) 782-3000
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Mr. J Tim Boyer
Title
Administrator
Phone
(610) 782-3551

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X 201850 PA

Addresses

Primary practice location

17 S 7TH St
Lehigh County GVMT Center
Allentown, PA 18101-2401

Mailing address

17 S 7TH St
Lehigh County GVMT Center
Allentown, PA 18101-2401
Phone (610) 782-3000

Other identifiers 3

IdentifierTypeStateIssuer
1000072380023MedicaidPA
1000072380002MedicaidPA
1000072380032MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
County of Lehigh Pennsylvania5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

17 S 7th St
Allentown, PA 18101
Phone (610) 782-3000

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1962550590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 S 7TH ST",
            "address_2": "LEHIGH COUNTY GVMT CENTER",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181012401",
            "telephone_number": "610-782-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S 7TH ST",
            "address_2": "LEHIGH COUNTY GVMT CENTER",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181012401",
            "telephone_number": "610-782-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH COUNTY MHMR PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "TIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-782-3551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "201850",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000072380023",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000072380002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000072380032",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.