1. Home
  2. Directory
  3. Pennsylvania
  4. New Bloomfield
  5. Community Behavioral Health
  6. NPI Profile

DIAKON FAMILY LIFE SERVICES
NPI 1053721191
Community/Behavioral Health in New Bloomfield, PA

Active since April 29, 2014
25 EAST MCCLURE STREET, NEW BLOOMFIELD BOROUGH BUILDING, NEW BLOOMFIELD, PA 17068(570) 795-0330(570) 795-0407 Get Directions Write a Review

NPPES record last updated: May 16, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Diakon Family Life Services NPPES

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

DIAKON FAMILY LIFE SERVICES (NPI 1053721191) is a healthcare organization registered as a community/behavioral health in New Bloomfield, Pennsylvania and active in the NPI registry since April 2014. The organization lists Rita A. Rousseau, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053721191
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDIAKON CHILD, FAMILY & COMMUNITY
Location Address25 EAST MCCLURE STREET, NEW BLOOMFIELD BOROUGH BUILDINGNew Bloomfield, PA 17068
Mailing Address435 W 4th StWilliamsport, PA 17701-6001 · (570) 322-7873 · Fax (570) 322-8026
Phone(570) 795-0330
Fax(570) 795-0407
Organization SubpartNo
Authorized OfficialRita A. RousseauExecutive Director · (717) 795-0368
Enumeration DateApril 29, 2014
Last NPPES UpdateMay 16, 2014
✔ NPI 1053721191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
25 EAST MCCLURE STREET, New Bloomfield, PA 17068
Open in Google Maps ↗

Other Names 1

Doing Business AsDiakon Family Life Services

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diakon Family Life Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Diakon Family Life Services, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Social Worker5
Psychiatry5
Mental Health Counselor1

Clinicians, nearest first (11)

Jagadeesh Moola, MD
Psychiatry
NPI 1952307746
503 N 21ST ST
Camp Hill, PA 17011
(717) 763-2219
✔ PECOS✔ Accepts Medicare18 mi
Muhammad Ikram, MD
Psychiatry
NPI 1477731180
1801 N FRONT ST
Harrisburg, PA 17102
(570) 441-6504
✔ PECOS✔ Accepts Medicare18 mi
Teresa Crayton
Mental Health Counselor
NPI 1194988485
960 CENTURY DR DIAKON FLS
Mechanicsburg, PA 17055
(717) 795-0330
✔ PECOS✔ Accepts Medicare18 mi
Claudia Dewane
Clinical Social Worker
NPI 1245715143
960 CENTURY DR
Mechanicsburg, PA 17055
(717) 795-0354
✔ PECOS✔ Accepts Medicare18 mi
Tracy Ericson, LCSW
Clinical Social Worker
NPI 1063600302
9627 ROUTE 35
Mt Pleasant Mills, PA 17853
(570) 539-2561
✔ PECOS✔ Accepts Medicare23 mi
Ilene Vangilder, LCSW
Clinical Social Worker
NPI 1679839765
1951 PINE HALL RD STE 225
State College, PA 16801
(814) 237-0001
✔ PECOS✔ Accepts Medicare44 mi
Faraz Tyeb, D.O.
Psychiatry
NPI 1639458417
169 MARTIN AVE
Ephrata, PA 17522
(717) 733-0311
✔ PECOS✔ Accepts Medicare55 mi
Bernadette Itle Crosby, LCSW
Clinical Social Worker
NPI 1770513160
811 MARKET ST
Williamsport, PA 17701
(570) 433-0249
✔ PECOS✔ Accepts Medicare58 mi
Douglas Reed, M.D.
Psychiatry
NPI 1801830443
1000 COMMERCE PARK DR SUITE 110
Williamsport, PA 17701
(570) 323-6944
✔ PECOS✔ Accepts Medicare58 mi
Wanda O'neill, LCSW
Clinical Social Worker
NPI 1619131257
1100 GRAMPIAN BLVD
Williamsport, PA 17701
(570) 320-7525
✔ PECOS✔ Accepts Medicare59 mi
Elkins Guzman
Psychiatry
NPI 1679952451
200 HIGH SERVICE AVE
N Providence, RI 02904
(401) 456-3000
✔ PECOS✔ Accepts Medicare315 mi

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

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 Diakon Child, Family & Community's NPI number?

The NPI number for Diakon Child, Family & Community is 1053721191. It was assigned to this organization in the NPPES registry on April 29, 2014. The provider is doing business as Diakon Family Life Services.

Where is Diakon Child, Family & Community located?

Diakon Child, Family & Community is located at 25 East Mcclure Street New Bloomfield Borough Building, New Bloomfield, PA 17068. The listed phone number is (570) 795-0330.

What is Diakon Child, Family & Community's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Diakon Child, Family & Community enrolled in Medicare?

Yes. Diakon Child, Family & Community is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diakon Child, Family & Community?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Diakon Child, Family & Community. A 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 the clinician's services. The largest specialties are Clinical Social Worker (5), Psychiatry (5) and Mental Health Counselor (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Diakon Child, Family & Community was last updated on May 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.