Community Counseling Center of Mercer County

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

436150 Issued in PA

Legal business name

COMMUNITY COUNSELING CENTER OF MERCER COUNTY

Practice address

2201 E State St
Hermitage, PA 16148-2727

Phone

(724) 981-7141

Fax

(724) 981-7763

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Angelo Stamoolis, M ED

Title

Chief Executive Officer

Phone

(724) 981-7141

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Community Counseling Center of Mercer County3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Community Counseling Center of Mercer County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hermitage, PA
  • NPI 1023070729
  NPD tax ID
• Community Counseling Center of Mercer County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenville, PA
  • NPI 1285892208
  NPD tax ID

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1992967517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 E STATE ST",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482727",
            "telephone_number": "724-981-7141",
            "fax_number": "724-981-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 E STATE ST",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482727",
            "telephone_number": "724-981-7141",
            "fax_number": "724-981-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING CENTER OF MERCER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "STAMOOLIS",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "724-981-7141",
        "authorized_official_credential": "M ED"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "436150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000380",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Counseling Center of Mercer County
• Community Counseling Center of Mercer County
• Community Counseling Center of Mercer County
• Community Counseling Center of Mercer County
• Community Counseling Center of Mercer County
• Compass
• Concierge Psych Med Management
• Sean R. Conrad, PA-C
• Barbara Cornelia, MA
• Lisa Costa

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.