NORTHEAST COUNSELING SERVICES – NPI #1386080430
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

NORTHEAST COUNSELING SERVICES is an AHC clinic located in SUGARLOAF, PA. NPPES has assigned the NPI number 1386080430 to NORTHEAST COUNSELING SERVICES on May 16, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHEAST COUNSELING SERVICES below.

NPI Profile for
NORTHEAST COUNSELING SERVICES

NPI Number
1386080430
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHEAST COUNSELING SERVICES
Primary location
100 ROCK GLEN RD
SUGARLOAF, PA 18249
Phone: (570) 455-6385 Fax:
Mailing address
750 E BROAD ST
HAZLETON, PA 18201-6835
Phone: (570) 455-6385 Fax:
Organization Subpart
No
Authorized Official
ED ABDO
EXECUTIVE DIRECTOR
Phone: (570) 735-7590
Updated
Identifiers

Identifiers for NORTHEAST COUNSELING SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPA1007615710004
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.