SHADRACH COUNSELING CENTER, INC (NPI# 1922582626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922582626 |
| Entity Type | Organization |
| Organization Name | SHADRACH COUNSELING CENTER, INC |
| Practice Address |
2001 Bedford St Johnstown PA 15904-1096 |
| Mailing Address |
15176 Tyrone Pike Curwensville PA 16833-8319 |
| Practice Telephone | 8142410047 |
| Mailing Telephone | 8142367406 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Authorized Official Name | KRIS A CANFIELD (CEO) |
| Authorized Official Telephone | 8142367406 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
2001 BEDFORD ST |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904-1096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245265214 | Michael Stephen Cash | Family Medicine | 2001 Bedford St, Johnstown, PA 15904-1096 | 2006-07-11 |
| 1881256022 | Dana R Canfield | Counselor | 2001 Bedford St, Johnstown, PA 15904-1096 | 2019-07-08 |
| 1194387589 | Kris Ann Canfield | Licensed Practical Nurse | 2001 Bedford St, Johnstown, PA 15904-1096 | 2019-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
| 1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
| 1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
| 1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
| 1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| Find all providers in zip 15904 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730508730 | Cambria County Crisis | Clinic/Center | 110 Franklin St Ste 300, Central Park Complex, Johnstown, PA 15901-1830 | 2014-04-08 |
| 1932552205 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2016-07-21 |
| 1487919197 | Alternative Community Resource Program | Clinic/Center | 131 Market St, Johnstown, PA 15901-1628 | 2012-07-09 |
| 1053681767 | Kaiser Foundation Health Plan of Co | Clinic/Center | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2012-01-11 |
| 1407933534 | Conemaugh Valley Memorial Hospital | Clinic/Center | 1086 Franklin St, Johnstown, PA 15905-4305 | 2006-11-01 |
| 1780769620 | Dlp Conemaugh Memorial Medical Center LLC | Clinic/Center | 1086 Franklin St, Johnstown, PA 15905-4305 | 2006-10-26 |
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| 1174147656 | Paul Witt Do Pllc | Clinic/Center | 59 East Carey Street, Plains, PA 18705-1870 | 2020-06-01 |
| 1306469309 | Everest Pace Center Inc | Clinic/Center | 2602 W 9th St Ste 100, Chester, PA 19013-2089 | 2020-05-26 |
| 1225650930 | The Modern Country Doctor, LLC | Clinic/Center | 23 Industrial Blvd Ste D, Paoli, PA 19301-1601 | 2020-05-15 |
| 1013543099 | Rediclinic of Pa, LLC | Clinic/Center | 5707 Easton Rd, Pipersville, PA 18947-1823 | 2020-03-21 |
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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.