OPEN DOOR PROFESSIONAL COUNSELING, LLC
NPI 1679352058
Clinic/Center - Mental Health (Including Community Mental Health Center) in Blakely, PA

Active since September 26, 2023
1819 MAIN ST FL 1, BLAKELY, PA 18447(570) 677-2411 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Open Door Professional Counseling, Llc NPPES

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

OPEN DOOR PROFESSIONAL COUNSELING, LLC (NPI 1679352058) is a healthcare organization registered as a mental health (including community mental health center) in Blakely, Pennsylvania and active in the NPI registry since September 2023. The organization lists Alyson Flash, Owner, as its authorized official.

NPPES Registry Identity

NPI1679352058
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameOPEN DOOR PROFESSIONAL COUNSELING, LLC
Location Address1819 MAIN ST FL 1Blakely, PA 18447-1351
Mailing Address1819 Main St Fl 1Blakely, PA 18447-1351 · (570) 677-2411
Organization SubpartNo
Authorized OfficialAlyson FlashOwner · (570) 677-2411
Enumeration DateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1679352058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1819 MAIN ST FL 1, Blakely, PA 18447

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Open Door Professional Counseling, 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 Open Door Professional Counseling, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1730795675
418 MAIN ST STE 600
Dickson City, PA 18519
(570) 677-2411
✔ PECOS1.9 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 Open Door Professional Counseling, LLC's NPI number?

The NPI number for Open Door Professional Counseling, LLC is 1679352058. It was assigned to this organization in the NPPES registry on September 26, 2023.

Where is Open Door Professional Counseling, LLC located?

Open Door Professional Counseling, LLC is located at 1819 Main St Fl 1, Blakely, PA 18447. The listed phone number is (570) 677-2411.

What is Open Door Professional Counseling, 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 Open Door Professional Counseling, LLC enrolled in Medicare?

Yes. Open Door Professional Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Open Door Professional Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Open Door Professional Counseling, 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 Open Door Professional Counseling, LLC was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.