| Keystone Counseling Services, Pc | |
|
343 S 3rd St Coopersburg PA 18036-2111 | |
| (610) 282-2575 | |
| (610) 282-3076 |
| Full Name | Keystone Counseling Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 343 S 3rd St, Coopersburg, Pennsylvania |
| Authorized Official Name and Position | William J Kelly (PRESIDENT) |
| Authorized Official Contact | 6102822575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Counseling Services, Pc 343 S 3rd St Coopersburg PA 18036-2111 Ph: (610) 282-2575 | Keystone Counseling Services, Pc 343 S 3rd St Coopersburg PA 18036-2111 Ph: (610) 282-2575 |
| NPI Number | 1689775157 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4082800651 |
|---|---|
| Medicare Enrollment ID | O20101122000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689775157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PS-002722-L (Pennsylvania) | Primary |
| Provider Name | William J. Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013015908 PECOS PAC ID: 0648466219 Enrollment ID: I20101220000707 |
| Provider Name | Diane R. Wertman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124404975 PECOS PAC ID: 6305288275 Enrollment ID: I20240523000674 |
| Provider Name | John H Blaxland |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033607049 PECOS PAC ID: 7719329580 Enrollment ID: I20240524000261 |
Raymond Kowalcyk, Ph.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6841 Blue Church Rd S, Coopersburg, PA 18036 Phone: 610-703-9633 Fax: 610-282-2988 | |
Warwick Family Based Program, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 East Station Ave, Coopersburg, PA 18036 Phone: 267-525-7000 Fax: 267-525-7010 | |
Lehigh Valley Child Psychology Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6666 Passer Rd Ste 2, Coopersburg, PA 18036 Phone: 484-935-3434 | |
Wings Of Change Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Main St, Suite 202, Donovan's Corner, Coopersburg, PA 18036 Phone: 484-863-1010 Fax: 484-863-1011 | |
Robin Rooth-fogel, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 202 S. Third Street, Suite 1, Coopersburg, PA 18036 Phone: 610-282-2015 Fax: 610-282-2024 | |
Heather R Evans Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 124 S Main St, Coopersburg, PA 18036 Phone: 610-282-5735 |