MR. KENNETH VINCENT BASCOM JR. MA
NPI 1861048159
Counselor - Addiction (Substance Use Disorder) in Honesdale, PA

Q: What is Kenneth Bascom's NPI number?

The NPI number for Kenneth Bascom is 1861048159. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Q: What is Kenneth Bascom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Bascom was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 13, 2019

1855 FAIR AVE, HONESDALE, PA 18431(570) 253-3980(570) 253-3982 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Kenneth Vincent Bascom Jr. Ma NPPES

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

MR. KENNETH VINCENT BASCOM JR. MA (NPI 1861048159) is an individual addiction (substance use disorder) provider in Honesdale, Pennsylvania, licensed in Pennsylvania (647010) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1861048159

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. KENNETH VINCENT BASCOM JR.Credential: MA

Location Address1855 FAIR AVEHonesdale, PA 18431-2121

Mailing Address151 Warner RdNorth Branch, NY 12766-5045 · (845) 482-5080

Phone(570) 253-3980

Fax(570) 253-3982

Sole ProprietorYes

Enumeration DateAugust 13, 2019

✔ NPI 1861048159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in PA · 647010

1855 FAIR AVE, Honesdale, PA 18431

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PA TREATMENT & HEALING

Community/Behavioral Health

1855 FAIR AVE
HONESDALE, PA 18431

Wayne County (570) 649-6855

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 Kenneth Bascom's NPI number?

The NPI number for Kenneth Bascom is 1861048159. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Where is Kenneth Bascom located?

Kenneth Bascom practices at 1855 Fair Ave, Honesdale, PA 18431. The listed phone number is (570) 253-3980.

What is Kenneth Bascom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kenneth Bascom was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.