CHILDREN'S SERVICE CENTER OF WYOMING VALLEY, INC
NPI 1710617857
Clinic/Center - Federally Qualified Health Center (FQHC) in Wilkes Barre, PA
About Children's Service Center Of Wyoming Valley, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHILDREN'S SERVICE CENTER OF WYOMING VALLEY, INC (NPI 1710617857) is a healthcare organization registered as a federally qualified health center (fqhc) in Wilkes Barre, Pennsylvania and active in the NPI registry since June 2022. The organization lists Sharon Vivian, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 1
Group Practice 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)
Children's Service Center Of Wyoming Valley, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
53Medicare enrollment records show 53 clinicians reassign Medicare billing to Children's Service Center Of Wyoming Valley, Inc, which bills Medicare for the services they deliver. Of these, 30 practice at this address and 43 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 53Wilkes Barre, PA 18702
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 Children's Service Center Of Wyoming Valley, Inc's NPI number?
The NPI number for Children's Service Center Of Wyoming Valley, Inc is 1710617857. It was assigned to this organization in the NPPES registry on June 13, 2022. The provider is also known as Conyngham Primary Health Care Center.
Where is Children's Service Center Of Wyoming Valley, Inc located?
Children's Service Center Of Wyoming Valley, Inc is located at 335 S Franklin St Bldg A, Wilkes Barre, PA 18702. The listed phone number is (570) 301-0924.
What is Children's Service Center Of Wyoming Valley, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Children's Service Center Of Wyoming Valley, Inc enrolled in Medicare?
Yes. Children's Service Center Of Wyoming Valley, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Children's Service Center Of Wyoming Valley, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 7 Medicare specialties reassign their Medicare billing to Children's Service Center Of Wyoming Valley, Inc. 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 Mental Health Counselor (18), Nurse Practitioner (18) and Clinical Social Worker (9). Of these, 30 practice at this address and 43 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Children's Service Center Of Wyoming Valley, Inc was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Children's Service Center Of Wyoming Valley, Inc · NPI 1710617857
Federally Qualified Health Center (FQHC) organization in Wilkes Barre, Pennsylvania. Organization record, active in the CMS NPPES registry since June 13, 2022.
## Identity
- **NPI:** 1710617857 (Entity type: Organization)
- **Enumerated:** June 13, 2022
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Conyngham Primary Health Care Center (Other Name)
- **Organization subpart:** Yes (part of Children's Service Center Of Wyoming Valley Inc)
- **Authorized official:** Sharon Vivian, CFO
## Practice location
- **Address:** 335 S FRANKLIN ST BLDG A, Wilkes Barre, PA 18702-3808
- **Phone:** (570) 301-0924
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 53 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (18), Nurse Practitioner (18), Clinical Social Worker (9); 30 practice at this address and 43 within 10 miles; [full list](https://npiprofile.com/npi/1710617857/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2026
- **Other identifiers:** Medicaid 1007280110160 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1710617857) · Data from the CMS NPPES public registry.