Deadra Clewell, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC007170 Issued in PA

Practice address

26 W Broad St Ste 111
Bethlehem, PA 18018-5732

Phone

(610) 737-1236

NPI assigned

May 6, 2014

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Deadra Clewell Counseling, LLC

  • Professional Counselor
  • Bethlehem, PA
  • NPI 1700538311
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1437569803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SINGER CT",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "183538059",
            "telephone_number": "610-737-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W BROAD ST STE 111",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185732",
            "telephone_number": "610-737-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 W Broad St",
            "address_2": "Ste 99B",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180185745",
            "country_code": "US",
            "telephone_number": "610-814-4869",
            "fax_number": "610-814-4869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEWELL",
        "first_name": "DEADRA",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2022-01-15",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Victoria Clauser
• Suzanne Cleary, CRNP
• Erin Cleaver, MS OTR/L
• Cori E. Clemmer, M.S.P.T.
• Cleo'S Smiles PLLC
• Debra Cline
• Susan E Clontz, CRNA
• Alexis Brooke Coalson, DO
• Nicholas John Coan, DO
• Travis D Cobb, MD

• Professional Counselor in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; 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.

Verify at the official NPI Registry.