Individual provider Active NPI

Joelle L. Kemerer-Archer, M.A, NCC, LPC

  • Professional Counselor
  • South Greensburg, PA
National Provider Identifier
1023336435
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005383 Issued in PA
Practice address
1644 Broad Street
Wellife, LLC
South Greensburg, PA 15601
Phone
(724) 853-8944
Fax
(724) 853-8944
NPI assigned
May 10, 2010
Last updated
May 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 219884 PA
Professional Counselor 101YP2500X PC005383 PA Primary

Addresses

Primary practice location

1644 Broad Street
Wellife, LLC
South Greensburg, PA 15601

Mailing address

1644 Broad Street
Wellife, LLC
South Greensburg, PA 15601
Phone (724) 853-8944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409002913 PA Practitioner - Mental Health Counselor 5395183495 Practice locations: Latrobe, PA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

128 Innovative LN
Latrobe, PA 15650-5548
Phone (412) 817-9063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
219884PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Joelle L. Kemerer-Archer, Ma, NCC, LPC, LLC. Professional CurrentSince Jun 13, 2011 Accepting new patients

Locations

128 Innovative Ln
Latrobe, PA 15650
Phone (412) 817-9063

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1023336435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 BROAD STREET",
            "address_2": "WELLIFE, LLC",
            "city": "SOUTH GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-853-8944",
            "fax_number": "724-853-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 BROAD STREET",
            "address_2": "WELLIFE, LLC",
            "city": "SOUTH GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-853-8944",
            "fax_number": "724-853-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMERER-ARCHER",
        "first_name": "JOELLE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "M.A, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "219884",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.