SUSQUEHANNA COUNSELING GROUP, INC.
NPI 1790894749
Psychologist in Kingston, PA

Active since August 30, 2006
400 3RD AVE STE 214, KINGSTON, PA 18704(570) 283-1600(570) 283-5515 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 26, 2026, May 13, 2025 (2 updates tracked since 2025).

About Susquehanna Counseling Group, Inc. NPPES

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

SUSQUEHANNA COUNSELING GROUP, INC. (NPI 1790894749) is a healthcare organization registered as a psychologist in Kingston, Pennsylvania and active in the NPI registry since August 2006. The organization lists John Shovlin, President, as its authorized official.

NPPES Registry Identity

NPI1790894749
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSUSQUEHANNA COUNSELING GROUP, INC.
Location Address400 3RD AVE STE 214Kingston, PA 18704-5816
Mailing Address400 3rd Ave Ste 214Kingston, PA 18704-5816 · (570) 283-1600 · Fax (570) 283-5515
Fax(570) 283-5515
Organization SubpartNo
Authorized OfficialJohn ShovlinPresident · (570) 283-1600
Enumeration DateAugust 30, 2006
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1790894749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in PA · PS006992L
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
400 3RD AVE STE 214, Kingston, PA 18704

Other Identifiers 2

OtherSU539129PA · Blue Cross Group #
Other4657272Aetna

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susquehanna Counseling Group, Inc. 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 Susquehanna Counseling Group, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1477653905
400 3RD AVE STE 211
Kingston, PA 18704
(570) 283-1600
✔ PECOS✔ Accepts MedicareSame address

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 Susquehanna Counseling Group, Inc.'s NPI number?

The NPI number for Susquehanna Counseling Group, Inc. is 1790894749. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Susquehanna Counseling Group, Inc. located?

Susquehanna Counseling Group, Inc. is located at 400 3rd Ave Ste 214, Kingston, PA 18704. The listed phone number is (570) 283-1600.

What is Susquehanna Counseling Group, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Susquehanna Counseling Group, Inc. enrolled in Medicare?

Yes. Susquehanna Counseling Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Susquehanna Counseling Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Susquehanna Counseling Group, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Susquehanna Counseling Group, Inc. was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.