Jessica E Lievendag, MA, LPC,

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC001544 Issued in PA

Practice address

1275 S Cedar Crest Blvd Ste 3a
Allentown, PA 18103-6207

Phone

(610) 351-3477

Fax

(610) 351-3488

NPI assigned

Jul 16, 2006

Last updated

Dec 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Summit View Counseling, LLC

  • Clinical Social Worker
  • Allentown, PA
  • NPI 1891186573

  Professional

  NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1063439933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 S CEDAR CREST BLVD STE 3A",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036207",
            "telephone_number": "610-351-3477",
            "fax_number": "610-351-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 S CEDAR CREST BLVD STE 3A",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036207",
            "telephone_number": "610-351-3477",
            "fax_number": "610-351-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEVENDAG",
        "first_name": "JESSICA",
        "middle_name": "E",
        "credential": "MA, LPC,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie M. Liberty, CRNA
• Carla Marie Lieb, PTA
• Amanda Lieberman, PA
• Jayme David Lieberman, MD
• Richard M Lieberman, MD
• Lifted Lotus Wellness
• Cephria Solomom Ligon, PHYSICAL THERAPIST
• Ambria Liles, MS
• Derek James Lillestolen, DO
• Tori Irene Lillestolen, DO

• Professional Counselor in Allentown, PA
• Providers in Allentown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.