Aliya S Kenyatta, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW137669 Issued in PA

Practice address

2400 Chew St
Allentown, PA 18104-5586

Phone

(484) 664-3178

NPI assigned

Dec 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Supportive Care of Pennsylvania LLCGroup PAC ID 0143521211, 91 clinicians

Supportive Care Psychology of NJ PCGroup PAC ID 6002162252, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Supportive Care of Pennsylvania LLC

  • Clinical Psychologist
  • Monsey, NY
  • NPI 1174992275

  PA

  Medicare reassignment Care Compare group
• Supportive Care Psychology of NJ PC

  • Clinical Psychologist
  • Howell, NJ
  • NPI 1356840003
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1023613593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 REYNOLDS RD",
            "city": "ALBRIGHTSVILLE",
            "state": "PA",
            "postal_code": "182107009",
            "telephone_number": "570-460-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045586",
            "telephone_number": "484-664-3178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Nazareth",
            "state": "PA",
            "postal_code": "180642133",
            "country_code": "US",
            "telephone_number": "610-365-5042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENYATTA",
        "first_name": "ALIYA",
        "middle_name": "S",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW137669",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW137669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Kennedy
• Jessica Kennedy, PA-C
• Kenney Dental, PC
• Justin Paul Kenney, DMD
• Timothy Lane Kent, D.M.D.
• Brian K Kephart, PHYSICIAN ASSISTANT
• Beth Kepich
• Dawson Kent Kerch, DPT, PT
• Palmer Wayne Kerch, DPT
• Jessica G Keroack, PHD

• Mental Health Counselor in Allentown, PA
• Providers in Allentown, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.