Kelly J Dick
Individual provider Active NPI Professional Counselor · Hollidaysburg, PA
NPI 1215299151 · NPPES record last updated Jan 18, 2025
Key facts
- NPI
- 1215299151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC006316 (PA)
- Practice address
- 1906 N Juniata St
Hollidaysburg, PA 16648-1908 - Phone
- (814) 695-2984
- Fax
- (814) 695-2110
- NPI assigned
- Jun 15, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC006316 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soar for Life | Current |
Accepting new patients |
Locations
1906 N Juniata St
Hollidaysburg, PA 16648
Phone (814) 695-2984
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC006316 | PA | Yes |
Addresses
Primary practice location
1906 N Juniata St
Hollidaysburg, PA 16648-1908
Mailing address
625 Chimney Rocks Rd
Hollidaysburg, PA 16648-9598
Phone (814) 696-4215
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC006316 | Other | PA | PROFESSIONAL COUNSELOR |
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All providers in Hollidaysburg, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.