Organization Active NPI

Echo Treatment Center, LLC

  • Methadone Clinic
  • Washington, PA
National Provider Identifier
1992170930
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
637041 Issued in PA
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

Updated by the provider on Jul 29, 2024

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)CodeLicenseStatePrimary
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 Doing business as

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 IDStateProvider typePAC IDDetails
O20220829003771 PA Part B Supplier - Opioid Treatment Program (Otp) 4587048251 Practice locations: Washington, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2212578Echo Treatment Center, LLC50 E Wylie Avenue, Suite 1, 2, & 3, Washington, PA 15301Certificate of waiverFeb 4, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

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.

Verify at the official NPI Registry.