| Mind Matters Coaching, Counseling, & Psychological Associates Llc | |
|
2209 Quarry Dr Ste A10 Reading PA 19609-1153 | |
| (844) 696-4631 | |
| Not Available |
| Full Name | Mind Matters Coaching, Counseling, & Psychological Associates Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2209 Quarry Dr Ste A10, Reading, Pennsylvania |
| Authorized Official Name and Position | Leslie Mae Chaundy (OWNER, SOLE PROPRIETOR) |
| Authorized Official Contact | 6103018360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Matters Coaching, Counseling, & Psychological Associates Llc 2208 Quarry Dr Van Reed Office Center, Suite #200 Reading PA 19609-1158 Ph: (610) 563-2052 | Mind Matters Coaching, Counseling, & Psychological Associates Llc 2209 Quarry Dr Ste A10 Reading PA 19609-1153 Ph: (844) 696-4631 |
| NPI Number | 1295187425 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Medicare PECOS PAC ID | 0648554303 |
|---|---|
| Medicare Enrollment ID | O20170413001952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295187425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS018003 (Pennsylvania) | Primary |
| 1041C0700X | Social Worker - Clinical | CW016069 (Pennsylvania) | Secondary |
| Provider Name | Justine A Liptock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659551596 PECOS PAC ID: 6406946664 Enrollment ID: I20071212000438 |
| Provider Name | Jonathan R Day |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649430703 PECOS PAC ID: 6608940374 Enrollment ID: I20080730000338 |
| Provider Name | Leslie M Chaundy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508015686 PECOS PAC ID: 8729243977 Enrollment ID: I20180222000583 |
| Provider Name | Veronica L Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235628462 PECOS PAC ID: 1355606898 Enrollment ID: I20180604000588 |
| Provider Name | Annalisa Bova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851757769 PECOS PAC ID: 1456697739 Enrollment ID: I20190430002840 |
| Provider Name | Nathan Scheffler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881212017 PECOS PAC ID: 1456779966 Enrollment ID: I20200916000149 |
| Provider Name | Crystal Dawn Witmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639612799 PECOS PAC ID: 8921411182 Enrollment ID: I20210107000094 |
| Provider Name | Mary Beth Hadley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841629607 PECOS PAC ID: 7012308729 Enrollment ID: I20220106000720 |
| Provider Name | James Scott Whitaker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023607249 PECOS PAC ID: 9931580339 Enrollment ID: I20220716000268 |
| Provider Name | Lisa A Hain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447439880 PECOS PAC ID: 8628448453 Enrollment ID: I20230111003191 |
| Provider Name | Nicole Darosh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174225684 PECOS PAC ID: 5395110423 Enrollment ID: I20230403002566 |
| Provider Name | Christina Elizabeth Siewert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841902368 PECOS PAC ID: 2668820549 Enrollment ID: I20231204000865 |
| Provider Name | Jorge Acosta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568791515 PECOS PAC ID: 0547612830 Enrollment ID: I20240123001888 |
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