CLEARFIELD-JEFFERSON CMHC (NPI# 1578684981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578684981 |
| Entity Type | Organization |
| Organization Name | CLEARFIELD-JEFFERSON CMHC |
| Practice Address |
264 Wilson St Wallaceton PA 16876 |
| 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 | 2007-04-03 |
| 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 | 251S00000X | Community/Behavioral Health | 425110 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007627390064 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1336261296 | Clearfield-jefferson Cmhc | Clinic/Center | 635 Maple Ave, Du Bois, PA 15801-2376 | 2007-04-04 |
| Street Address |
264 WILSON ST |
| City | WALLACETON |
| State | PA |
| Zip Code | 16876 |
| 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 |
|---|---|---|---|---|
| 1306447115 | Forward Plan LLC | Community/Behavioral Health | 900 Macfarlane Dr, Pittsburgh, PA 15235-4230 | 2020-11-06 |
| 1821699240 | Eternal Renewal, LLC | Community/Behavioral Health | 501 N Charlotte St Fl 2, Pottstown, PA 19464-4602 | 2020-11-03 |
| 1417557174 | Kensington Hospital Non Hospital Short Term/long Term Rehab | Community/Behavioral Health | 136 W. Diamond St, Philadelphia, PA 19122-1721 | 2020-10-30 |
| 1699373415 | Maternity Care Coalition | Community/Behavioral Health | 401 Dekalb St, Norristown, PA 19401-4909 | 2020-10-14 |
| 1558969741 | Centerville Clinics Inc | Community/Behavioral Health | Centerville Clinics-intensive Behavioral Health Service, 37 Highland Avenue, Washington, PA 15301-4062 | 2020-10-12 |
| 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 | ||||
| City | WALLACETON |
| Zip Code | 16876 |
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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.