IRENE STACY COMMUNITY MENTAL HEALTH CENTER (NPI# 1063410207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063410207 |
| Entity Type | Organization |
| Organization Name | IRENE STACY COMMUNITY MENTAL HEALTH CENTER |
| Practice Address |
112 Hillvue Dr Butler PA 16001-3426 |
| Practice Telephone | 7242870791 |
| Practice Fax Number | 7242878354 |
| Mailing Telephone | 7242870791 |
| Mailing Fax Number | 7242878354 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2015-05-12 |
| Authorized Official Name | MR. JOSEPH HAUSER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7242870791 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
423000 | PA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
101013 | PA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
423000 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100003515 | 05 | |
| PA | UPMC | 201030 | 01 |
| PA | CBHNP-GATEWAY | 1007698 | 01 |
| PA | HIGHMARK | 660502 | 01 |
| PA | MEDICARE PTAN | 151407 | 01 |
| Street Address |
112 HILLVUE DR |
| City | BUTLER |
| State | PA |
| Zip Code | 16001-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629460621 | Mandip S. Sandhu | Psychiatry & Neurology | 112 Hillvue Dr, Butler, PA 16001-3426 | 2015-02-27 |
| 1497154058 | Shawna Martin | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2014-08-20 |
| 1477985604 | Mark Ernest Freeman | Physician Assistant | 112 Hillvue Dr, Butler, PA 16001-3426 | 2013-07-30 |
| 1588945398 | Amy Lynn Serrian | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2011-09-07 |
| 1831470160 | Kathleen D Ivory | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2011-08-31 |
| 1275813313 | Valerie Wolenter | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2011-08-21 |
| 1346578655 | Laurie Lynne Christy | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2009-11-24 |
| 1881927986 | Krystal G Schultz | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2009-09-08 |
| 1780876490 | Roger A Kelly | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2007-08-16 |
| 1205057767 | Kathleen A Rodgers | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407347842 | Sara Rae Saeler | Speech-Language Pathologist | Lifesteps Early Education Center, 383 New Castle Road, Butler, PA 16001 | 2018-05-22 |
| 1265937601 | Sang Chul Lee | Dentist | 222 W Cunningham St Ste 106, Butler, PA 16001 | 2018-03-27 |
| 1255850251 | Kristin Michelle Mohler | Nurse Practitioner | 353 N. Duffy Rd, Butler, PA 16001 | 2017-09-12 |
| 1164977096 | Jessica Rossman | Optometrist | 120 Hollywood Dr Ste 102, Butler, PA 16001 | 2016-08-21 |
| 1801244355 | The Care Center | Case Management | 115-121 East North Street, Butler, PA 16001 | 2016-05-25 |
| 1912385287 | Jennifer Marie Nelson | Registered Nurse | 121 Sawmill Ln, Butler, PA 16001 | 2015-05-07 |
| 1659799427 | Kelli M. Ruby | Psychiatry & Neurology | 901 E Brady St Ste 103, Butler, PA 16001 | 2014-03-31 |
| 1942627815 | Good Choices Counseling, LLC | Social Worker | 1022a North Main Street Extension, Butler, PA 16001 | 2014-03-27 |
| 1821415068 | Jill Charlene Ferguson | Counselor | 200 Renaissance Drive, Suite 301, Butler, PA 16001 | 2014-03-26 |
| 1922435668 | Sarah J Wagner | Counselor | 371 North Main Street, Second Floor, Butler, PA 16001 | 2013-09-26 |
| Find all providers in zip 16001 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500119 | Jessica Bair | Counselor | 120 Campus Ln, Butler, PA 16001-2662 | 2020-08-26 |
| 1386117018 | Yvonne Kirsten Bartmas | Counselor | 220 S Main St Ste B, Butler, PA 16001-0806 | 2019-01-04 |
| 1942609540 | Amanda Ranalli | Counselor | 6208 Crestmont Dr, Butler, PA 16002-0430 | 2014-08-19 |
| 1588983894 | Rebecca Sue De Vries | Counselor | 201 S Main St Ste 102a, Butler, PA 16001-5990 | 2010-05-26 |
| 1689868812 | Denise Renee Wilson | Counselor | Samaritan Counseling Center, 1201 North Main Street Ext., Butler, PA 16001-1537 | 2007-08-30 |
| 1689291791 | Amy Elizabeth Shirey | Counselor | 220 S Main St Ste B, Butler, PA 16001-0806 | 2020-07-06 |
| 1609409325 | Mindful Life, LLC | Counselor | 371 N Main St, Butler, PA 16001-4955 | 2020-02-20 |
| 1629545249 | James Glynn | Counselor | 100 Brugh Ave, Butler, PA 16001-6428 | 2018-11-01 |
| 1477020097 | Cecelia Buechele | Counselor | 100 Brugh Ave, Butler, PA 16001-6428 | 2018-11-01 |
| 1902388614 | Julia Cenci | Counselor | 100 Brugh Ave, Butler, PA 16001-6428 | 2018-08-30 |
| Find all providers in BUTLER | ||||
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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.