Kelly Corinne Berthold, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

315 S Allen St Ste 326
State College, PA 16801

Phone

(814) 865-2191

Fax

(148) 638-1331

NPI assigned

May 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Pennsylvania State UniversityGroup PAC ID 8426002908, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Pennsylvania State University

  • Public Health or Welfare Agency
  • University Park, PA
  • NPI 1386784593
  Medicare reassignment Care Compare group NPD
• Centre Counseling and Wellness, LLC

  • Mental Health Counselor
  • State College, PA
  • NPI 1033650932
  Medicare reassignment NPD
• The Milton S Hershey Medical Center Physicians Group

  • Orthopaedic Surgery Physician
  • Hershey, PA
  • NPI 1710951744
  Medicare reassignment NPD
• The Milton S Hershey Medical Center Physician Group

  • Body Imaging Physician
  • Hershey, PA
  • NPI 1346215928
  NPD
• The Milton S Hershey Medical Center Physicians Group

  • Psychiatry Physician
  • Hershey, PA
  • NPI 1932174323
  NPD
• The Pennsylvania State University

  • Hearing and Speech Clinic/Center
  • University Park, PA
  • NPI 1356670608
  NPD
• Alternative Community Resource Program

  • Community/Behavioral Health Agency
  • Altoona, PA
  • NPI 1407179898
  NPD (past)
• Alternative Community Resource Program, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Johnstown, PA
  • NPI 1942398839
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1376078089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E PARK STREET",
            "address_2": "SUITE 207",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036706",
            "telephone_number": "814-235-2480",
            "fax_number": "814-235-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S ALLEN ST STE 326",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "814-865-2191",
            "fax_number": "148-638-1331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Allen St Ste 326",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168014851",
            "country_code": "US",
            "telephone_number": "814-308-0704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTHOLD",
        "first_name": "KELLY",
        "middle_name": "CORINNE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin James Berkey, D.O.
• Diana Berlyand, R.D.
• Andrew Steven Bernhard, DPM
• Kaitlyn Bernhard
• Kyan Erin Berry, LPN
• Best Day Psychiatry and Counseling, PC
• Sally J. Best, LPC, NCC
• Beth Resko
• Bethany Christian Services
• Bewell Associates

• Clinical Social Worker in State College, PA
• Providers in State College, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.