WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC


Address: 562 Wyoming Ave, Kingston, PA 18704-3721
Phone: 5705523700

WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC (NPI# 1114153921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114153921
Entity Type Organization
Organization Name WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Other Organization Name COMMUNITY COUNSELING SERVICES OF NEPA
Practice Address 562 Wyoming Ave
Kingston
PA 18704-3721
Practice Telephone 5705523700
Practice Fax Number 5705523733
Mailing Telephone 5705523700
Mailing Fax Number 5705523733
Enumeration Date 2009-06-08
Last Update Date 2009-06-08
Authorized Official Name LAURIE HOLTSFORD (DIRECTOR)
Authorized Official Telephone 6154657466
Is Organization Subpart Y
Parent Organization Name WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
222480 PA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Community Counseling Services of NEPA Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093070583 Wilkes Barre Behavioral Hospital Company LLC Community Based Residential Treatment Facility, Mental Illness 76 S Dawes Ave, Kingston, PA 18704-5710 2012-07-10
1649535139 Wilkes Barre Behavioral Hospital Company LLC Community Based Residential Treatment Facility, Mental Illness 3504 Bear Creek Blvd, Bear Creek Township, PA 18702-9760 2012-07-10
1073842936 Wilkes Barre Behavioral Hospital Company LLC Registered Nurse 562 Wyoming Ave, Kingston, PA 18704-3721 2009-12-23
1982835484 Wilkes Barre Behavioral Hospital Company LLC Case Management 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2009-07-31
1669608477 Wilkes Barre Behavioral Hospital Company LLC Clinic/Center 99 Bridge St, Tunkhannock, PA 18657-1303 2009-06-08
1477789287 Wilkes Barre Behavioral Hospital Company LLC Case Management 562 Wyoming Ave, Kingston, PA 18704-3721 2009-06-08
1386870194 Wilkes Barre Behavioral Hospital Company LLC Case Management 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2009-06-08
1376779181 Wilkes Barre Behavioral Hospital Company LLC Clinic/Center 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2009-06-08
1568698371 Wilkes Barre Behavioral Hospital Company LLC Clinic/Center 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2009-06-08
1992931893 Wilkes Barre Behavioral Hospital Company LLC Clinic/Center 562 Wyoming Ave, Kingston, PA 18704-3721 2009-06-05

Office Location

Street Address 562 WYOMING AVE
City KINGSTON
State PA
Zip Code 18704-3721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780683417 David Liskov Psychiatry & Neurology 562 Wyoming Ave, Kingston, PA 18704-3721 2005-07-15
1376186064 Brent Smith Registered Nurse 562 Wyoming Ave, Kingston, PA 18704-3721 2019-10-24
1275812661 Roseanne P Pace Counselor 562 Wyoming Ave, Kingston, PA 18704-3721 2011-08-16
1609172170 Brittany Bahner Counselor 562 Wyoming Ave, Kingston, PA 18704-3721 2011-02-01
1528368826 Mary Repasky Counselor 562 Wyoming Ave, Choices Program of Wyoming Valley, Kingston, PA 18704 2010-11-02
1073842936 Wilkes Barre Behavioral Hospital Company LLC Registered Nurse 562 Wyoming Ave, Kingston, PA 18704-3721 2009-12-23
1285862409 David Liskov, Md Psychiatry & Neurology 562 Wyoming Ave, Kingston, PA 18704-3721 2009-06-25
1013144211 Md.mushfiqur Rahman Psychiatry & Neurology 562 Wyoming Ave, First Hospital, Kingston, PA 18704-3721 2009-06-15
1477789287 Wilkes Barre Behavioral Hospital Company LLC Case Management 562 Wyoming Ave, Kingston, PA 18704-3721 2009-06-08
1992931893 Wilkes Barre Behavioral Hospital Company LLC Clinic/Center 562 Wyoming Ave, Kingston, PA 18704-3721 2009-06-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013557552 Millmark Health Inc. Psychiatry & Neurology 511 Pierce Street, Kingston, PA 18704 2020-01-13
1427550334 Michael Anthony Waltich Military Health Care Provider 82 Cooper Street, Pringle, PA 18704 2018-03-06
1376088435 Jae LLC Massage Therapist 512 Northhampton Street, Edwardsville, PA 18704 2016-12-28
1306278288 Mohammad Khaled Tashkandi Internal Medicine 490 Northampton St Ste 1, Edwardsville, PA 18704 2013-08-02
1396180014 Sammie Craven IIi Pharmacist 96 1st Avenue, Kingston, PA 18704 2013-05-08
1447693114 Catherine Mary Harding Nurse Practitioner 141 South Maple Ave, Kingston, PA 18704 2013-04-12
1861781403 Jennifer Ann Richards Pharmacist 22 West Side Mall, Edwardsville, PA 18704 2011-04-05
1558512772 Jolon Theresa Sherin Speech-Language Pathologist 1825 Sans Souci Highway, Hanover, PA 18704 2008-10-07
1932361102 Kari Ann Pietralczyk Audiologist 190 Welles Street, Forty-fort, PA 18704 2008-06-30
1467584151 John Christopher Storti Chiropractor 180 United Penn Plaza, Kingston, PA 18704 2007-03-09
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891335410 Bayside Counseling and Consulting Clinic/Center 40 Cedar Ln, Kingston, MA 02364-1743 2020-01-11
1720157613 Southern Oklahoma Treatment Services, Inc. Clinic/Center 500 North Hwy 70, Kingston, OK 73439 2006-11-07
1447574439 Amy Elizabeth Gordon Clinic/Center 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 2010-03-18
1730410515 Mollie Williams Clinic/Center 717b Highway 70 E, Kingston, OK 73439-8253 2010-01-19
1730325531 Grunblatt Psychology and Counseling Offices, P.C. Clinic/Center 124 Green St, Kingston, NY 12401-4422 2008-12-29
1568631513 Luzerne Wyoming County Mental Health Center #1 Clinic/Center 562 Wyoming Ave, Kingston, PA 18704-3721 2008-02-25
1285803239 Luzerne Wyoming County Mental Health Center #1 Clinic/Center 562 Wyoming Ave, Kingston, PA 18704-3721 2008-02-25
1578684973 Luzerne Wyoming County Mh Center #1 Clinic/Center 562 Wyoming Ave, Kingston, PA 18704-3721 2007-04-03
1154480051 Port Gamble S'klallam Mental Health Clinic/Center 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 2006-12-06

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NPI Name Taxonomy Address Enumeration
1205437092 Northeast Counseling Service Clinic/Center 109 W Green St, Nanticoke, PA 18634-2212 2020-11-06
1356949663 Christina Robidoux, Lpc Clinic/Center 321 Pine St Ste 207-208, Williamsport, PA 17701-6561 2020-10-09
1447857800 Simple Healing LLC Clinic/Center 11 W 2nd St Unit 305, Bethlehem, PA 18015-1294 2020-10-07
1629683693 Sunshine Counseling, LLC Clinic/Center 1093 Douglass Dr Apt A, Boyertown, PA 19512-7620 2020-09-15
1619582533 Concern-professional Services for Children, Youth & Families Clinic/Center 749 South St, Laporte, PA 18626-7019 2020-09-09
1023623956 Sunshine Healing & Counseling Clinic/Center 328 Summit Ave Ste 120, Jenkintown, PA 19046-3134 2020-09-08
1376153940 Nami Erie County Pa Clinic/Center 1611 Peach St Ste 218, Erie, PA 16501-2121 2020-08-07
1376161919 Bryan Bass-riley Licensed Professional Counselor, LLC Clinic/Center 3825 Northern Pike Ste 202, Monroeville, PA 15146-2161 2020-07-09
1053937664 Theosis Therapeutic Counseling Clinic/Center 982 E Pine St, Palmyra, PA 17078-2821 2020-06-19
1366065633 Let's Talk Counseling, LLC Clinic/Center 510 Springfield Rd, Aldan, PA 19018-4227 2020-05-21
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Competitor

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City KINGSTON
Zip Code 18704

Improve Information

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Dataset Information

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.

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