Individual provider Active NPI

Keisha Scott Vuong

  • Mental Health Counselor
  • Chester Springs, PA
National Provider Identifier
1326615097
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC007103 Issued in PA
Practice address
145 Little Conestoga Rd
Chester Springs, PA 19425-9562
Phone
(215) 359-5091
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC007103 PA Primary

Addresses

Primary practice location

145 Little Conestoga Rd
Chester Springs, PA 19425-9562

Mailing address

145 Little Conestoga Rd
Chester Springs, PA 19425-9562
Phone (215) 359-5091

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
PC007103PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bent Mountain Springs Counseling LLC Mental Health Current Accepting new patients

Locations

5 Christy Dr
Ste 102
Chadds Ford, PA 19317
Phone (484) 574-3843

Organizations & group practices 1

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1326615097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 LITTLE CONESTOGA RD",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259562",
            "telephone_number": "215-359-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 LITTLE CONESTOGA RD",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259562",
            "telephone_number": "215-359-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUONG",
        "first_name": "KEISHA",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC007103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.