CLEARFIELD-JEFFERSON CMHC (NPI# 1336261296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336261296 |
| Entity Type | Organization |
| Organization Name | CLEARFIELD-JEFFERSON CMHC |
| Practice Address |
635 Maple Ave Du Bois PA 15801-2376 |
| Mailing Address |
100 Caldwell Dr Du Bois PA 15801-1152 |
| Practice Telephone | 8143711100 |
| Practice Fax Number | 8143713671 |
| Mailing Telephone | 8143711100 |
| Mailing Fax Number | 8143713671 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KAREN H FORSHA (BILLING SUPERVISOR) |
| Authorized Official Telephone | 8143711100 |
| Authorized Official Credential | B. S. EDUCATION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
407300 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007627390022 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578684981 | Clearfield-jefferson Cmhc | Community/Behavioral Health | 264 Wilson St, Wallaceton, PA 16876 | 2007-04-03 |
| 1447371893 | Clearfield-jefferson Cmhc | Community/Behavioral Health | 425 Orient Ave, Du Bois, PA 15801-3219 | 2007-04-03 |
| 1548381981 | Clearfield-jefferson Cmhc | Community/Behavioral Health | 100 Caldwell Dr, Du Bois, PA 15801-1152 | 2007-04-03 |
| 1649391087 | Clearfield-jefferson Cmhc | Clinic/Center | 103 N Gilpin St, Punxsutawney, PA 15767-2055 | 2007-04-03 |
| 1558482992 | Clearfield-jefferson Cmhc | Clinic/Center | 501 E Market St, Clearfield, PA 16830-2468 | 2007-04-03 |
| 1427170380 | Clearfield-jefferson Cmhc | Clinic/Center | 404 Liberty Blvd, Du Bois, PA 15801-2436 | 2007-04-04 |
| Street Address |
635 MAPLE AVE |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-2376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528002573 | John Wade Lobb | Psychologist | 635 Maple Ave, Du Bois, PA 15801-2376 | 2006-06-16 |
| 1962917245 | Mary Elizabeth Logan | Nurse Practitioner | 635 Maple Ave, Du Bois, PA 15801-2376 | 2017-12-07 |
| 1033661335 | Bethany Lindemuth | Social Worker | 635 Maple Ave, Du Bois, PA 15801 | 2016-11-03 |
| 1881063279 | Olivia Luzier | Social Worker | 635 Maple Ave, Du Bois, PA 15801-2376 | 2015-09-16 |
| 1851776397 | Dubois Regional Medical Center - Penn Highlands Dubois East Campus | Family Medicine | 635 Maple Ave, Du Bois, PA 15801-2376 | 2015-07-27 |
| 1366836959 | Arianne Zimmerman | Counselor | 635 Maple Ave, Du Bois, PA 15801-2376 | 2015-03-23 |
| 1487937199 | Dubois Regional Medical Center | Internal Medicine | 635 Maple Ave, Du Bois, PA 15801-2376 | 2011-09-20 |
| 1770893141 | Megan E Lyle | Physician Assistant | 635 Maple Ave, Du Bois, PA 15801-2376 | 2010-10-19 |
| 1710296157 | Dubois Regional Medical Center | Family Medicine | 635 Maple Ave, Du Bois, PA 15801 | 2010-10-04 |
| 1043523657 | Huma Ansari | Psychiatry & Neurology | 635 Maple Ave, Du Bois, PA 15801-2376 | 2010-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265918064 | Cooper's Counseling, LLC | Clinic/Center | 3 S Brady St Ste 236, Du Bois, PA 15801-2159 | 2018-07-14 |
| 1659708659 | Community Guidance Center | Clinic/Center | 490 Jeffers St, Du Bois, PA 15801-2438 | 2013-10-04 |
| 1871924084 | Community Guidance Center | Clinic/Center | 490 Jeffers St, Du Bois, PA 15801-2438 | 2013-12-13 |
| 1427170380 | Clearfield-jefferson Cmhc | Clinic/Center | 404 Liberty Blvd, Du Bois, PA 15801-2436 | 2007-04-04 |
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| 1205437092 | Northeast Counseling Service | Clinic/Center | 109 W Green St, Nanticoke, PA 18634-2212 | 2020-11-06 |
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| 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 |
| 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.