Individual provider Active NPI

Janelle Marie Stevens, LPC

  • Professional Counselor
  • Berwick, PA
National Provider Identifier
1295568665
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC017511 Issued in PA
Practice address
363R Market St
Berwick, PA 18603-3717
Phone
(570) 759-2820
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 PC017511 PA Primary

Addresses

Primary practice location

363R Market St
Berwick, PA 18603-3717

Mailing address

1760 Old Tioga Tpke
Stillwater, PA 17878-9200
Phone (570) 394-8854

Other practice location 1

35 E Green St
Nanticoke, PA 18634-2414
Phone (570) 762-2583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC017511PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Berwick Counseling Services PC Professional CurrentSince Jan 12, 2025 Accepting new patients
Nanticoke Counseling Services PC Professional Past Accepting new patients

Locations

363 Market St
#R
Berwick, PA 18603
Phone (570) 394-8854

Organizations & group practices 2

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": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1295568665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 OLD TIOGA TPKE",
            "city": "STILLWATER",
            "state": "PA",
            "postal_code": "178789200",
            "telephone_number": "570-394-8854",
            "fax_number": "570-300-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363R MARKET ST",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186033717",
            "telephone_number": "570-759-2820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 E Green St",
            "address_purpose": "LOCATION",
            "city": "Nanticoke",
            "state": "PA",
            "postal_code": "186342414",
            "country_code": "US",
            "telephone_number": "570-762-2583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JANELLE",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwick, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.