DIAKON CHILD, FAMILY & COMMUNITY MINISTRIES (NPI# 1003222100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003222100 |
| Entity Type | Organization |
| Organization Name | DIAKON CHILD, FAMILY & COMMUNITY MINISTRIES |
| Other Organization Name | DIAKON FAMILY LIFE SERVICES NORTHEAST |
| Practice Address |
1 S Home Ave Topton PA 19562-1317 |
| Mailing Address |
960 Century Dr Mechanicsburg PA 17055-4374 |
| Practice Telephone | 7177950330 |
| Mailing Telephone | 7177950330 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |
| Authorized Official Name | MS. RITA ROUSSEAU (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7177950330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Diakon Family Life Services Northeast | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700384476 | Diakon Child, Family & Community Ministries | Clinic/Center | 1500 Cherry St, Williamsport, PA 17701-2169 | 2018-01-29 |
| 1205242138 | Diakon Child, Family & Community Ministries | Counselor | 836 S George St, York, PA 17403-3124 | 2014-07-11 |
| 1053721191 | Diakon Child, Family & Community Ministries | Community/Behavioral Health | 25 East Mcclure Street, New Bloomfield Borough Building, New Bloomfield, PA 17068 | 2014-04-29 |
| 1861802035 | Diakon Child, Family & Community Ministries | Community/Behavioral Health | 100 N Arch St, Montoursville, PA 17754-1904 | 2014-04-28 |
| 1265842413 | Diakon Child, Family & Community Ministries | Community/Behavioral Health | 1800 W Market St, Lewisburg, PA 17837-1236 | 2014-04-28 |
| 1689022394 | Diakon Child, Family & Community Ministries | Community/Behavioral Health | 520 W 4th St, Williamsport, PA 17701-6038 | 2016-06-03 |
| 1962818930 | Diakon Child, Family & Community Ministries | Counselor | 940 Century Dr, Mechanicsburg, PA 17055-4376 | 2014-07-10 |
| 1669882700 | Diakon Child, Family & Community Ministries | Community/Behavioral Health | 960 Century Dr, Mechanicsburg, PA 17055-4374 | 2014-04-29 |
| 1114337391 | Diakon Child, Family & Community Ministries | Community/Behavioral Health | 435 W 4th St, Williamsport, PA 17701-6001 | 2014-04-28 |
| 1629488861 | Diakon Child, Family & Community Ministries | Counselor | 960 Century Dr, Mechanicsburg, PA 17055-4374 | 2014-04-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIAKON CHILD, FAMILY & COMMUNITY MINISTRIES | 1 S Home Ave, Topton, PA 19562-1317 |
| Street Address |
1 S HOME AVE |
| City | TOPTON |
| State | PA |
| Zip Code | 19562-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487695755 | Raymond Joseph Hauser | Family Medicine | 1 S Home Ave, Topton, PA 19562-1317 | 2006-06-09 |
| 1215440987 | Joshua Michael Quigley | Physical Therapy Assistant | 1 S Home Ave, Topton, PA 19562-1317 | 2017-11-15 |
| 1215483904 | Maura Kelley | Student in an Organized Health Care Education/Training Program | 1 S Home Ave, Topton, PA 19562-1317 | 2016-08-31 |
| 1164876751 | Diakon Child Family & Community Ministries | Foster Care Agency | 1 S Home Ave, Topton, PA 19562-1317 | 2016-04-20 |
| 1790139772 | Kimberly Fellenbaum | Physical Therapy Assistant | 1 S Home Ave, Topton, PA 19562-1317 | 2016-04-15 |
| 1013303924 | Patricia Smith | Physical Therapy Assistant | 1 S Home Ave, Topton, PA 19562-1317 | 2015-04-08 |
| 1073930350 | Audrey Cooper | Occupational Therapy Assistant | 1 S Home Ave, Topton, PA 19562-1317 | 2014-03-25 |
| 1124445820 | Heather Hermley | Physical Therapy Assistant | 1 S Home Ave, Topton, PA 19562-1317 | 2014-03-20 |
| 1275874570 | Diakon Lutheran Social Ministries | Community/Behavioral Health | 1 S Home Ave, Topton, PA 19562-1317 | 2013-03-12 |
| 1750613816 | Tina Lynn Fulton | Physical Therapist | 1 S Home Ave, Topton, PA 19562-1317 | 2010-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265773451 | G. Dennis Rains | Psychologist | One South Home Avenue, Diakon Family Life Services, Topton, PA 19562 | 2013-03-13 |
| 1124114830 | Sheila R Miller | Optometrist | 232 S. Home Avenue, Topton, PA 19562 | 2006-10-04 |
| 1295753044 | Gregory Val Brown | Chiropractor | 23 Centre Ave, Topton, PA 19562-1001 | 2006-07-18 |
| 1255312252 | Steven C Kline | Emergency Medical Technician, Basic | 115 Centre Ave, Topton, PA 19562-1002 | 2005-11-08 |
| 1356428775 | Topton Family Practice Associates | Family Medicine | 72 Washington St, Topton, PA 19562-1017 | 2006-11-01 |
| 1124055231 | Joseph Blasiol | Family Medicine | 72 Washington St, Topton, PA 19562-1017 | 2006-06-26 |
| 1750323721 | Jeffrey John Jones | Family Medicine | 72 Washington St, Topton, PA 19562-1017 | 2006-06-12 |
| 1942248646 | Keystone Rehabilitation Systems Inc | Clinic/Center | 72 Washington St, Suite 2c, Topton, PA 19562-1017 | 2006-06-03 |
| 1700200185 | Tara Undercoffler | Counselor | 245 Walnut Dr Apt 8, Topton, PA 19562-1133 | 2014-02-06 |
| 1376714840 | Sheila R Miller | Eyewear Supplier (Equipment, not the service) | 232 S Home Ave, Topton, PA 19562-1228 | 2008-03-12 |
| Find all providers in zip 19562 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700200185 | Tara Undercoffler | Counselor | 245 Walnut Dr Apt 8, Topton, PA 19562-1133 | 2014-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799733 | Traci Anne Lordan | Counselor | 1717 Newtown-langhorne Rd Suite 304, Langhorne, PA 19047 | 2020-10-29 |
| 1447850938 | Transformative Coaching and Counseling, LLC | Counselor | 1704 Marilyn Dr, Havertown, PA 19083-1220 | 2020-10-26 |
| 1528667110 | Sahra B Riccardi | Counselor | 25 S Main St Ste 6503, Yardley, PA 19067-1527 | 2020-10-23 |
| 1902405871 | Erin C Williams | Counselor | 137 Montgomery Ave Ste 105, Boyertown, PA 19512-1300 | 2020-10-21 |
| 1255930392 | The Therapy Space LLC | Counselor | 1084 E Lancaster Ave Ste 301, Bryn Mawr, PA 19010-1515 | 2020-10-20 |
| 1619576022 | Christine Cremonni | Counselor | 451 Wayne Ave, Springfield, PA 19064-2618 | 2020-10-19 |
| 1184222952 | Lynn Nicole Ackert | Counselor | 499 Bath Road, Bristol, PA 19007 | 2020-10-14 |
| 1992303846 | Colette L Bone | Counselor | 919 Godfrey Rd, Lake City, PA 16423-2110 | 2020-10-13 |
| 1245838184 | Ina Morris-robinson | Counselor | 3000 Valley Forge Cir Apt 653, King of Prussia, PA 19406-1146 | 2020-10-13 |
| 1215535596 | Christine E Vincent | Counselor | 2714 Hazel Ave, Glenside, PA 19038-2409 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.