COMMUNITY COUNSELING CENTER OF MERCER COUNTY NPI 1972727048

NPI Information

NPI: 1972727048
Provider Name: COMMUNITY COUNSELING CENTER OF MERCER COUNTY
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
107 BRECKENRIDGE ST STE 1
GROVE CITY, PA
ZIP 16127
Phone: (724) 458-4144
Get Directions

COMMUNITY COUNSELING CENTER OF MERCER COUNTY is a mental health (including community mental health center) clinic center in Grove City, PA. COMMUNITY COUNSELING CENTER OF MERCER COUNTY NPI is 1972727048. The provider is registered as an organization entity type.

The provider's business location address is:

107 BRECKENRIDGE ST STE 1
GROVE CITY, PA
ZIP 16127-025
Phone: (724) 458-4144
Fax: (724) 458-4157

The provider's authorized official is Fern Maureen Torok .
The authorized official title is Community Outreach And Development and has the following contact phone number (724) 981-7141.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 3/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	402750	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W80465	MEDICARE UPIN	PENNSYLVANIA
2	151487	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	CCC'S #
3	100000380 0038	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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