NPIMap

Organization Active NPI

Newport Counseling Center, LLC

  • Social Worker
  • Newport, PA
National Provider Identifier
1992909337
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
NEWPORT COUNSELING CENTER, LLC
Practice address
28 West Shortcut Road
Newport, PA 17074-8721
Phone
(717) 567-3524
Fax
(717) 567-3581
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Elise Woodcock
Title
Office Manager
Phone
(717) 275-3570

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X PA Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CWO15633 PA

Addresses

Primary practice location

28 West Shortcut Road
Newport, PA 17074-8721

Mailing address

28 West Shortcut Rd
Newport, PA 17074-8721
Phone (717) 567-3524

Other identifiers 2

IdentifierTypeStateIssuer
102090458MedicaidPA
1019436680001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090202000370 PA Part B Supplier - Clinic/Group Practice 6608930920 Receives reassigned benefits from 7 practitioners
Practice locations: Newport, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1992909337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WEST SHORTCUT RD",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748721",
            "telephone_number": "717-567-3524",
            "fax_number": "717-567-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WEST SHORTCUT ROAD",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748721",
            "telephone_number": "717-567-3524",
            "fax_number": "717-567-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "WOODCOCK",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-275-3570"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CWO15633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102090458",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019436680001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.