GENA PATACKAS LPC LLC
NPI 1497590491
Clinic/Center - Mental Health (Including Community Mental Health Center) in Peckville, PA
About Gena Patackas Lpc Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENA PATACKAS LPC LLC (NPI 1497590491) is a healthcare organization registered as a mental health (including community mental health center) in Peckville, Pennsylvania and active in the NPI registry since July 2024. The organization maintains a secondary practice location in Clarks Summit and lists Eugena Therese Patackas, Licensed Professional Counselor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gena Patackas Lpc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gena Patackas Lpc LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Gena Patackas Lpc LLC's NPI number?
The NPI number for Gena Patackas Lpc LLC is 1497590491. It was assigned to this organization in the NPPES registry on July 1, 2024.
Where is Gena Patackas Lpc LLC located?
Gena Patackas Lpc LLC is located at 1005 Main St Ste 3, Peckville, PA 18452. The listed phone number is (570) 382-3122.
What is Gena Patackas Lpc LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Gena Patackas Lpc LLC enrolled in Medicare?
Yes. Gena Patackas Lpc LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gena Patackas Lpc LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Gena Patackas Lpc LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gena Patackas Lpc LLC was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Gena Patackas Lpc Llc · NPI 1497590491
Mental Health (Including Community Mental Health Center) organization in Peckville, Pennsylvania. Organization record, active in the CMS NPPES registry since July 1, 2024.
## Identity
- **NPI:** 1497590491 (Entity type: Organization)
- **Enumerated:** July 1, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Eugena Patackas, LICENSED PROFESSIONAL COUNSELOR
## Practice location
- **Address:** 1005 MAIN ST STE 3, Peckville, PA 18452-2166
- **Phone:** (570) 382-3122
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497590491) · Data from the CMS NPPES public registry.