| Connellsville Counseling & Psychological Services, Llc | |
|
416 S Pittsburgh St Connellsville PA 15425-4003 | |
| (724) 626-8420 | |
| (724) 628-0898 |
| Full Name | Connellsville Counseling & Psychological Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 416 S Pittsburgh St, Connellsville, Pennsylvania |
| Authorized Official Name and Position | Roxane Mongelluzzo (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7246268420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connellsville Counseling & Psychological Services, Llc 416 S Pittsburgh St Connellsville PA 15425-4003 Ph: (724) 626-8420 | Connellsville Counseling & Psychological Services, Llc 416 S Pittsburgh St Connellsville PA 15425-4003 Ph: (724) 626-8420 |
| NPI Number | 1275844789 |
|---|---|
| Provider Enumeration Date | 06/30/2010 |
| Last Update Date | 06/30/2010 |
| Medicare PECOS PAC ID | 3274792536 |
|---|---|
| Medicare Enrollment ID | O20120307000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275844789 | NPI | - | NPPES |
| TO BE ASSIGNED | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | TO BE ASSIGNED (Pennsylvania) | Primary |
| Provider Name | Ben Paul Brinkley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801958798 PECOS PAC ID: 2062507965 Enrollment ID: I20071008000391 |
| Provider Name | Roxane Mongelluzzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285690891 PECOS PAC ID: 5991973810 Enrollment ID: I20110720000695 |
| Provider Name | Jennifer L Fosbrink |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851653380 PECOS PAC ID: 1153586391 Enrollment ID: I20120713000091 |
| Provider Name | Karen E Barkley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265497200 PECOS PAC ID: 0749505766 Enrollment ID: I20150216001853 |
| Provider Name | Krista J Boyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487988986 PECOS PAC ID: 2668788597 Enrollment ID: I20150908002518 |
| Provider Name | Heather L Penzera-ulicne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740495142 PECOS PAC ID: 3870691942 Enrollment ID: I20160309000929 |
| Provider Name | Melissa Dickinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043733926 PECOS PAC ID: 7810269735 Enrollment ID: I20170828000058 |
| Provider Name | April Marie Mccrum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194249342 PECOS PAC ID: 1759621568 Enrollment ID: I20190314000079 |
| Provider Name | Jasmine Lynn Debeary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174185177 PECOS PAC ID: 2466783360 Enrollment ID: I20191008000037 |
| Provider Name | Kelly Lynn Tamburro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730772153 PECOS PAC ID: 5496104358 Enrollment ID: I20231218002335 |
| Provider Name | Angela Vaslavsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053699223 PECOS PAC ID: 1456712694 Enrollment ID: I20240108003768 |
| Provider Name | Tyler Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841872587 PECOS PAC ID: 1052762283 Enrollment ID: I20240111003008 |
Roxane Mongelluzzo, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 S Pittsburgh St, Connellsville, PA 15425 Phone: 724-626-8420 Fax: 724-628-0898 | |
Highlands Hospital And Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Murphy Ave, Connellsville, PA 15425 Phone: 724-628-1500 Fax: 724-626-2217 | |
Apex Diagnostics-w Penn Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2614 Memorial Blvd Ste A, Connellsville, PA 15425 Phone: 410-808-0248 | |
State Of Mind Neuropsychology Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2714 Memorial Blvd, Connellsville, PA 15425 Phone: 724-317-1647 | |
Serenity Hill Counseling & Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2787 Memorial Blvd Unit 2, Connellsville, PA 15425 Phone: 724-603-2647 | |
Highlands Hospital And Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Murphy Ave, Connellsville, PA 15425 Phone: 724-628-1500 |