Active NPI
Andrea Wetzel, LPC
- Professional Counselor
- Bethlehem, PA
National Provider Identifier
1235522335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008042
- Practice address
- 1408 Wood St
Bethlehem, PA 18017-5931 - Phone
- (484) 347-9267
- NPI assigned
- Mar 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC008042 | PA | Primary |
Addresses
Primary practice location
1408 Wood St
Bethlehem, PA 18017-5931
Mailing address
1408 Wood St
Bethlehem, PA 18017-5931
Phone (484) 347-9267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| St. Luke'S Physician Group Inc | Current | Accepting new patients | |
| Wetzel Psychology Services | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients |
Locations
257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
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.
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Community/Behavioral Health Agency
- Bethlehem, PA
- NPI 1760057079
-
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Family Medicine Physician
- Fogelsville, PA
- NPI 1326492257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1235522335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 WOOD ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180175931",
"telephone_number": "484-347-9267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 WOOD ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180175931",
"telephone_number": "484-347-9267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETZEL",
"first_name": "ANDREA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-12",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.