Kelly Allen, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP013345 Issued in PA

Practice address

514 W 3Rd Ave
Warren, PA 16365-2201

Phone

(814) 723-2219

Fax

(814) 723-9127

NPI assigned

Nov 19, 2013

Last updated

Dec 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Counselling Services Center of Southeastern Erie County, Inc.Group PAC ID 7214975283, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Counselling Services Center of Southeastern Erie County, Inc.

  dba Corry Counseling Services Center Inc

  • Community/Behavioral Health Agency
  • Corry, PA
  • NPI 1417968439
  Medicare reassignment Care Compare group NPD
• Deerfield Behavioral Health of Warren, LLC

  • Psychiatry Physician
  • Warren, PA
  • NPI 1134158314
  Medicare reassignment

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1033549605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26244 SOUTH RD",
            "city": "SPARTANSBURG",
            "state": "PA",
            "postal_code": "164342448",
            "telephone_number": "814-723-5545",
            "fax_number": "814-723-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W 3RD AVE",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652201",
            "telephone_number": "814-723-2219",
            "fax_number": "814-723-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KELLY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP013345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP",
            "identifier": "SP013345",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niaz Ahmed, M.D.
• Elizabeth Aiken, MS, OTR/L
• Alex B. Strassburg, MD, LLC (Seneca Sleep Disorders Center)
• Alannah Allen
• Alyssa Allen, LPC
• Simon Levi Amsdell, M.D.
• Willaim Bailey Andrews, OPTICIAN
• Elizabeth Carol Arnold, LPN, CWCN, ADON, IP
• Arnumentarium Medical Practice Inc
• Karen Ashbaugh, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Warren, PA
• Providers in Warren, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.