EUGENA PATACKAS MS LBS LPC NCC
NPI 1003299397
Counselor in Clarks Summit, PA

Active since July 03, 2015PECOS Enrolled
106 COLBURN AVE, CLARKS SUMMIT, PA 18411(570) 687-7495 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Eugena Patackas Ms Lbs Lpc Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EUGENA PATACKAS MS LBS LPC NCC (NPI 1003299397) is an individual counselor in Clarks Summit, Pennsylvania and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003299397
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameEUGENA PATACKASCredential: MS LBS LPC NCC
Location Address106 COLBURN AVEClarks Summit, PA 18411-1569
Mailing Address717 E Pine StOlyphant, PA 18447-1934 · (570) 687-7495
Sole ProprietorYes
Enumeration DateJuly 3, 2015
Last NPPES UpdateNovember 4, 2015
✔ NPI 1003299397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
106 COLBURN AVE, Clarks Summit, PA 18411

Other Names 1

Professional Name (2)Gena Patackas Ms Lbs Lpc Ncc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eugena Patackas Ms Lbs Lpc Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Eugena Patackas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1005 MAIN ST STE 3
Peckville, PA 18452
  • Reassigned Medicare billing, Pennsylvania enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
106 COLBURN AVE
CLARKS SUMMIT, PA 18411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eugena Patackas's NPI number?

The NPI number for Eugena Patackas is 1003299397. It was assigned to this individual provider in the NPPES registry on July 3, 2015. The provider is also known as Gena Patackas Ms Lbs Lpc Ncc.

Where is Eugena Patackas located?

Eugena Patackas practices at 106 Colburn Ave, Clarks Summit, PA 18411. The listed phone number is (570) 687-7495.

What is Eugena Patackas's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Eugena Patackas enrolled in Medicare?

Yes. Eugena Patackas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eugena Patackas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eugena Patackas reassigns Medicare benefits to Gena Patackas Lpc LLC (Peckville, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eugena Patackas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eugena Patackas was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.