Organization Active NPI

Arrowhead Emotional Wellness

  • Counseling Psychologist
  • West Reading, PA
National Provider Identifier
1073242111
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
ARROWHEAD EMOTIONAL WELLNESS
Practice address
634 Penn Ave
West Reading, PA 19611-1004
Phone
(484) 709-2441
NPI assigned
Jun 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Ms. Kelly Nixon Burns, MA, LPCNPI 1912355710
Title
Owner
Phone
(484) 709-2441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

634 Penn Ave
West Reading, PA 19611-1004

Mailing address

634 Penn Ave
West Reading, PA 19611-1004
Phone (484) 709-2441

National Provider Directory

National Provider Directory

Locations

634 Penn Ave
West Reading, PA 19611
Phone (610) 685-2960

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1073242111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 PENN AVE",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111004",
            "telephone_number": "484-709-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 PENN AVE",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111004",
            "telephone_number": "484-709-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD EMOTIONAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "NIXON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-709-2441",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.