TREHAB DRUG AND ALCOHOL OUTPATIENT PROGRAM (NPI# 1124209440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124209440 |
| Entity Type | Organization |
| Organization Name | TREHAB DRUG AND ALCOHOL OUTPATIENT PROGRAM |
| Other Organization Name | TREHAB |
| Practice Address |
36 Public Ave Box 366 Montrose PA 18801-1220 |
| Mailing Address |
36 Public Ave 2nd Floor Montrose PA 18801-1220 |
| Practice Telephone | 5702783338 |
| Mailing Telephone | 5702783338 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2015-09-21 |
| Authorized Official Name | MR. DENNIS PHELPS (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5702785227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | H6526601 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICAL ASSISTANCE | 100-730-1450005 | 01 |
| PA | MEDICAL ASSISTANCE | 100-730-1450007 | 01 |
| PA | MEDICAL ASSISTANCE | 100-730-1450006 | 01 |
| Other Name | Type Code |
|---|---|
| Trehab | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053791566 | Trehab Drug and Alcohol Outpatient Program | Community/Behavioral Health | 1224 Main St, Susquehanna, PA 18847-2608 | 2015-06-01 |
| Street Address |
36 PUBLIC AVE BOX 366 |
| City | MONTROSE |
| State | PA |
| Zip Code | 18801-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356883722 | Ann Lewis | Counselor | 36 Public Ave, Montrose, PA 18801-1220 | 2016-11-16 |
| 1578005591 | Traci Decker | Counselor | 36 Public Ave, Montrose, PA 18801-1603 | 2016-11-08 |
| 1750823779 | Jeffery Mead | Counselor | 36 Public Ave, Montrose, PA 18801-1603 | 2016-11-08 |
| 1942742960 | Judith Carroll | Counselor | 36 Public Ave, Montrose, PA 18801-1603 | 2016-11-08 |
| 1366994832 | Michelle Taylor | Counselor | 36 Public Ave, Montrose, PA 18801-1220 | 2016-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225588437 | Judith Ann Ochse | Nurse Practitioner | 273 Meteor Way, Montrose, PA 18801 | 2016-10-12 |
| 1164726196 | Beth Parrish | Speech-Language Pathologist | 11292 Sr 29, Montrose, PA 18801 | 2011-01-05 |
| 1588996839 | Eric Brandon Rood | Chiropractor | 337 High School Rd, Suites 1&3, Montrose, PA 18801 | 2010-02-10 |
| 1245416171 | Bruce C Rossman | Counselor | Rr3 Valley View Rd, Franklin Forks, PA 18801 | 2008-01-10 |
| 1386837409 | Tri County Human Services Center Inc | Case Management | Rt 706 E, Lake Plaza 2, Montrose, PA 18801 | 2007-08-22 |
| 1184790511 | Monica L Marta | Dentist | 12 Ridge Street, Montrose, PA 18801 | 2006-11-28 |
| 1710057864 | Carey Marie Williams | Nurse Practitioner | 50 Meteor Way, Montrose, PA 18801 | 2006-11-08 |
| 1447348610 | Binghamton Optical Inc | Eyewear Supplier (Equipment, not the service) | 13 Public Ave, Montrose, PA 18801 | 2006-10-11 |
| 1013017474 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 801 Grow Avenue, Montrose, PA 18801 | 2006-09-25 |
| 1811996283 | Montrose Minute Men Inc | Ambulance | 23 Hollister Dr., Montrose, PA 18801 | 2005-07-19 |
| Find all providers in zip 18801 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528466265 | Solutions Wellness Center LLC | Community/Behavioral Health | 2798 Woodgate Rd, Montrose, CO 81401-5686 | 2014-12-11 |
| 1174749220 | Trehab Drug and Alcohol Outpatient Center | Community/Behavioral Health | 60 Church St Fl 2, Montrose, PA 18801-1231 | 2007-04-17 |
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| 1023624202 | Allied Health Care Services | Community/Behavioral Health | 1124 Scott St, Wilkes Barre, PA 18705-3737 | 2020-09-22 |
| 1518573708 | Mental Health Solution | Community/Behavioral Health | 2671 Darlington Rd, Beaver Falls, PA 15010-1280 | 2020-09-22 |
| 1629684584 | Peace & Clarity Counseling LLC | Community/Behavioral Health | 1 E Broad St Ste 130-1096, Bethlehem, PA 18018-5913 | 2020-09-16 |
| 1548874746 | Room 2 Grow, LLC | Community/Behavioral Health | 7500 Brooktree Rd Ste 201, Wexford, PA 15090-9285 | 2020-09-04 |
| 1134733819 | Keeping It Real Counseling, LLC | Community/Behavioral Health | 2937 Route 611 Unit 9a, Tannersville, PA 18372-6000 | 2020-09-01 |
| 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.