NPIMap

Organization Active NPI

Northern Tier Counseling, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Towanda, PA
National Provider Identifier
1992839492
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
226990 Issued in PA
Legal business name
NORTHERN TIER COUNSELING, INC
Practice address
420 State St
Towanda, PA 18848-8795
Phone
(570) 265-0100
Fax
(570) 265-6741
NPI assigned
Mar 15, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Paul Denault
Title
Ceo
Phone
(570) 265-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 226990 PA Primary

Addresses

Primary practice location

420 State St
Towanda, PA 18848-8795

Mailing address

24727 Route 6 Ste 2
Towanda, PA 18848-8257
Phone (570) 265-0100

Other practice location 1

1 High School Dr
Towanda, PA 18848-1300
Phone (570) 265-0100

Other identifiers 1

IdentifierTypeStateIssuer
000753722OtherPAHIGHMARK PROV#-PSYCHIATRY

National Provider Directory

National Provider Directory
Tax ID family
Northern Tier Counseling in8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

24727 Route 6
#2
Towanda, PA 18848
Phone (570) 265-0100

420 State St
Towanda, PA 18848
Phone (570) 265-0100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992839492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24727 ROUTE 6 STE 2",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188488257",
            "telephone_number": "570-265-0100",
            "fax_number": "570-265-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 STATE ST",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188488795",
            "telephone_number": "570-265-0100",
            "fax_number": "570-265-6741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 High School Dr",
            "address_purpose": "LOCATION",
            "city": "Towanda",
            "state": "PA",
            "postal_code": "188481300",
            "country_code": "US",
            "telephone_number": "570-265-0100",
            "fax_number": "570-265-6741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHERN TIER COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DENAULT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-265-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "226990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROV#-PSYCHIATRY",
            "identifier": "000753722",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towanda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.