Individual provider Active NPI

David Wojtkowski, MS

  • Professional Counselor
  • Bethlehem, PA
National Provider Identifier
1063286631
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC016804 Issued in PA
Practice address
820 16TH Ave
Bethlehem, PA 18018-3431
Phone
(610) 428-1265
NPI assigned
Nov 14, 2023
Last updated
May 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC016804 PA Primary

Addresses

Primary practice location

820 16TH Ave
Bethlehem, PA 18018-3431

Mailing address

820 16TH Ave
Bethlehem, PA 18018-3431
Phone (610) 428-1265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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

Enrollment IDStateProvider typePAC IDDetails
I20250221001475 PA Practitioner - Mental Health Counselor 2769902626 Reassigns benefits to 2 organizations
I20260514004619 NJ Practitioner - Mental Health Counselor 2769902626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

600 N Jackson St
Suite 300
Media, PA 19063-2530
Phone (855) 284-7483

7 Lincoln Hwy
Suite 224
Edison, NJ 08820-3965
Phone (732) 479-4763

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jul 17, 2025 Accepting new patients
Forge Medical Group, LLC CurrentSince Jan 12, 2025 Accepting new patients
Forge Medical Group, LLC CurrentSince Jan 12, 2025 Accepting new patients
Indian Creek Foundation PastSince Nov 1, 2023 Accepting new patients

Locations

7 Lincoln Hwy
Ste 224
Edison, NJ 08820
Phone (732) 479-4763

10 Bank St
Ste 830
White Plains, NY 10606
Phone (888) 224-7312

40 Huff Avenue Ext
Greensburg, PA 15601
Phone (724) 836-3960

600 N Jackson St
Ste 300
Media, PA 19063
Phone (610) 557-1991

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279

Organizations & group practices 4

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1063286631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 16TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180183431",
            "telephone_number": "610-428-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 16TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180183431",
            "telephone_number": "610-428-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJTKOWSKI",
        "first_name": "DAVID",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-14",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.