NPIMap

Organization Active NPI

Counseling & Wellness Center of Scranton LLC

  • Professional Counselor
  • Scranton, PA
National Provider Identifier
1992118111
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC002354 Issued in PA
Legal business name
COUNSELING & WELLNESS CENTER OF SCRANTON LLC
Practice address
1021 Moosic St
Scranton, PA 18505-4550
Phone
(570) 961-9355
Fax
(570) 961-0782
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Mary Helen Moran Yatko, LPC
Title
Owner
Phone
(570) 961-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X PC002354 PA Primary

Addresses

Primary practice location

1021 Moosic St
Scranton, PA 18505-4550

Mailing address

1021 Moosic St
Scranton, PA 18505-4550
Phone (570) 961-9355

Other identifiers 1

IdentifierTypeStateIssuer
819491OtherPAFIRST PRIORITY HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220502001393 PA Part B Supplier - Clinic/Group Practice 3072900547 Receives reassigned benefits from 8 practitioners
Practice locations: Scranton, PA
O20250422002367 SC Part B Supplier - Clinic/Group Practice 3072900547 Receives reassigned benefits from 1 practitioner
Practice locations: Hilton Head Island, SC

National Provider Directory

National Provider Directory

Locations

4 Meadow Ave
Scranton, PA 18505
Phone (570) 504-1530

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1992118111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 MOOSIC ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185054550",
            "telephone_number": "570-961-9355",
            "fax_number": "570-961-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MOOSIC ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185054550",
            "telephone_number": "570-961-9355",
            "fax_number": "570-961-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING & WELLNESS CENTER OF SCRANTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "MORAN YATKO",
        "authorized_official_first_name": "MARY HELEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-961-9355",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "819491",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.