Individual provider Active NPI

Bradley Guarneri, LPC, NCC

  • Professional Counselor
  • Kingston, PA
National Provider Identifier
1295159762
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC004808 Issued in PA
Practice address
470 Wyoming Ave
Kingston, PA 18704-3603
Phone
(570) 342-8434
NPI assigned
Feb 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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 PC004808 PA Primary

Addresses

Primary practice location

470 Wyoming Ave
Kingston, PA 18704-3603

Mailing address

1251 Wyoming Ave
Exeter, PA 18643-1434
Phone (570) 342-8434

Other practice location 1

2937 Route 611 Unit 15E
Tannersville, PA 18372-6000
Phone (570) 342-8434

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110000042 PA Practitioner - Mental Health Counselor 2264883693

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1761
Kingston, PA 18704-0761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC004808PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Griffiths Psy D & Associates Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
Gabriela M Yurkanin DPM PC PastSince Mar 5, 2023 Accepting new patients
Integrated Behavioral Health Services, LLC Professional PastSince Jul 17, 2022 Accepting new patients
Joy Armillay, Ed.D., R.D., LDN Past Accepting new patients

Locations

502 N Blakely St
Dunmore, PA 18512
Phone (570) 342-8434

1251 Wyoming Ave
Exeter, PA 18643
Phone (570) 307-9054

470 Wyoming Ave
Kingston, PA 18704
Phone (570) 288-4551

2937 Route 611
Unit 15E
Tannersville, PA 18372
Phone (570) 342-8434

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18643/brand/1/csg/1/fhir/r4

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": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1295159762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 WYOMING AVE",
            "city": "EXETER",
            "state": "PA",
            "postal_code": "186431434",
            "telephone_number": "570-342-8434",
            "fax_number": "570-299-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043603",
            "telephone_number": "570-342-8434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2937 Route 611 Unit 15E",
            "address_purpose": "LOCATION",
            "city": "Tannersville",
            "state": "PA",
            "postal_code": "183726000",
            "country_code": "US",
            "telephone_number": "570-342-8434",
            "fax_number": "570-299-2521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUARNERI",
        "first_name": "BRADLEY",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-04",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.