WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC (NPI# 1669608477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669608477 |
| Entity Type | Organization |
| Organization Name | WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC |
| Other Organization Name | COMMUNITY COUNSELING SERVICE OF NEPA |
| Practice Address |
99 Bridge St Tunkhannock PA 18657-1303 |
| Mailing Address |
562 Wyoming Ave Kingston PA 18704-3721 |
| Practice Telephone | 5708363118 |
| Practice Fax Number | 5708361117 |
| Mailing Telephone | 5705523700 |
| Mailing Fax Number | 5705523733 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2018-04-12 |
| Authorized Official Name | PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC |
| 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 Name | Type Code |
|---|---|
| Community Counseling Service of NEPA | Doing Business As Name - Organization |
| 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 |
| 1114153921 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 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 |
| Street Address |
99 BRIDGE ST |
| City | TUNKHANNOCK |
| State | PA |
| Zip Code | 18657-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528170131 | Leonard M. Mcnabb | Social Worker | 99 Bridge St, Tunkhannock, PA 18657-1303 | 2006-08-31 |
| 1508092412 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 99 Bridge St, Tunkhannock, PA 18657-1303 | 2009-06-05 |
| 1699944652 | Luzerne Wyoming County Mental Health Center #1 | Clinic/Center | 99 Bridge St, Tunkhannock, PA 18657-1303 | 2008-02-25 |
| 1396866786 | Luzerne Wyoming County Mh Center #1 | Clinic/Center | 99 Bridge St, Tunkhannock, PA 18657-1303 | 2007-04-03 |
| 1205957693 | Luzerne Wyoming County Mh Center #1 | Clinic/Center | 99 Bridge St, Tunkhannock, PA 18657-1303 | 2007-04-03 |
| 1710007166 | Luzerne Wyoming County Mh Center #1 | Clinic/Center | 99 Bridge St, Tunkhannock, PA 18657-1303 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194092114 | Michael Francis Lynch | Physical Therapist | 821 N Eaton Rd, Tunkhannock, PA 18657 | 2011-11-18 |
| 1013200690 | Elizabeth Lynn Shook | Pharmacist | 600 Hunter Highway, Tunkhannock, PA 18657 | 2011-05-16 |
| 1649561044 | William Zupko | Pharmacist | 420 Tioga West Plaza, Tunkhannock, PA 18657 | 2011-04-20 |
| 1659681138 | Eihab Human Services, Inc. | Psychiatric Residential Treatment Facility | 1200 State Route 92 South, Tunkhannock, NY 18657 | 2010-10-18 |
| 1780992230 | Mallory Kay Racoski | Physician Assistant | 5950 Sr 6 Fl 4, Tunkhannock, PA 18657 | 2010-09-17 |
| 1912154279 | Maya W Noble | Acupuncturist | 134 E Tioga Street, Four Winds Acupuncture Clinic, Tunkhannock, PA 18657 | 2008-08-19 |
| 1023282506 | Four Winds Acupuncture Clinic and Integrative Therapies, PC | Social Worker | 6 Sunnyside Rd, Tunkhannock, PA 18657 | 2008-04-16 |
| 1871708040 | Robin Bolinder Pinches | Physical Therapist | 880 Sr6w, Tyler Memorial Hospital, Tunkhannock, PA 18657 | 2007-05-11 |
| 1972729028 | Eugene John Geeza | Physical Therapist | Tyler Memorial Hospital, 880 Sr 6 W, Tunkhannock, PA 18657 | 2007-04-17 |
| 1104981018 | Williams Primary Care PC | Internal Medicine | 71 Hollowcrest Drive, Suite 3, Tunkhannock, PA 18657 | 2006-12-22 |
| Find all providers in zip 18657 | ||||
| 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 |
|---|---|---|---|---|
| 1508092412 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 99 Bridge St, Tunkhannock, PA 18657-1303 | 2009-06-05 |
| 1699944652 | Luzerne Wyoming County Mental Health Center #1 | Clinic/Center | 99 Bridge St, Tunkhannock, PA 18657-1303 | 2008-02-25 |
| 1396866786 | Luzerne Wyoming County Mh Center #1 | Clinic/Center | 99 Bridge St, Tunkhannock, PA 18657-1303 | 2007-04-03 |
| 1205957693 | Luzerne Wyoming County Mh Center #1 | Clinic/Center | 99 Bridge St, Tunkhannock, PA 18657-1303 | 2007-04-03 |
| 1710007166 | Luzerne Wyoming County Mh Center #1 | Clinic/Center | 99 Bridge St, Tunkhannock, PA 18657-1303 | 2007-03-30 |
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| 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 | ||||
| City | TUNKHANNOCK |
| Zip Code | 18657 |
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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.