Individual provider Active NPI

Jacquelyn Defrancisco, LPC

  • Professional Counselor
  • Bristol, PA
National Provider Identifier
1164213633
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC018432 Issued in PA
Practice address
499 Bath Rd
Bristol, PA 19007-3102
Phone
(267) 893-5274
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 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 PC018432 PA Primary

Addresses

Primary practice location

499 Bath Rd
Bristol, PA 19007-3102

Mailing address

499 Bath Rd
Bristol, PA 19007-3102
Phone (267) 893-5274

Other names 1

  • Jacquelyn Koellner Former name

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
I20250613003497 PA Practitioner - Mental Health Counselor 1153832407 Reassigns benefits to 2 organizations
I20260415004127 NJ Practitioner - Mental Health Counselor 1153832407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lenape Valley FoundationGroup PAC ID 7719960913, 66 clinicians

Practice addresses (Care Compare)

499 Bath Rd
Bristol, PA 19007-3101
Phone (215) 458-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lenape Valley Foundation CurrentSince Apr 11, 2025 Accepting new patients
Advocare , LLC CurrentSince Feb 23, 2026 Accepting new patients
Lenape Valley Foundation Professional CurrentSince Apr 11, 2025 Accepting new patients
Advocare, LLC CurrentSince Feb 23, 2026 Accepting new patients

Locations

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

500 N West St
Doylestown, PA 18901
Phone (267) 893-5118

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1164213633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 BATH RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073102",
            "telephone_number": "267-893-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 BATH RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073102",
            "telephone_number": "267-893-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRANCISCO",
        "first_name": "JACQUELYN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC018432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "KOELLNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bristol, PA

Sources for this page

Verify at the official NPI Registry.