Active NPI
Echo Treatment Center, LLC
- Methadone Clinic
- Washington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- 637041
- Legal business name
- ECHO TREATMENT CENTER, LLC
- Practice address
- 50 E Wylie Ave Ste 2
Washington, PA 15301-2059 - Phone
- (724) 222-6220
- Fax
- (724) 222-6221
- NPI assigned
- Dec 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Jarvie
- Title
- VP, Treasurer
- Phone
- (214) 379-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | 637041 | PA | Primary |
Addresses
Primary practice location
50 E Wylie Ave Ste 2
Washington, PA 15301-2059
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Phone (469) 470-4779
Other names 1
- MedMark Treatment Centers Washington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Opioid treatment program
- Medicare-enrolled since Jul 1, 2022
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220829003771 | PA | Part B Supplier - Opioid Treatment Program (Otp) | 4587048251 | Practice locations: Washington, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2212578 | Echo Treatment Center, LLC | Certificate of waiver | Feb 4, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Methadone Clinic
- Greensburg, PA
- NPI 1629521117
Member Of
Locations
50 E Wylie Ave
Ste 2
Washington, PA 15301
Phone (724) 222-6220
50 E Wylie Ave
Ste 23
Washington, PA 15301
Phone (202) 296-4455
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1487958567
-
- Counselor
- Washington, PA
- NPI 1740988609
-
- Licensed Practical Nurse
- Washington, PA
- NPI 1184073728
-
- Licensed Practical Nurse
- Washington, PA
- NPI 1023466943
-
- Counselor
- Washington, PA
- NPI 1144891540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722211200000",
"number": "1992170930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 LAKEPOINTE DR STE 117",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750576425",
"telephone_number": "469-470-4779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E WYLIE AVE STE 2",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153012059",
"telephone_number": "724-222-6220",
"fax_number": "724-222-6221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECHO TREATMENT CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-02",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A",
"authorized_official_last_name": "JARVIE",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "VP, TREASURER",
"authorized_official_telephone_number": "214-379-3300"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "PA",
"license": "637041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MedMark Treatment Centers Washington",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.