Active NPI
Kellerman's Counseling, LLC
- Community/Behavioral Health Agency
- Meadville, PA
National Provider Identifier
1457113748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- KELLERMAN'S COUNSELING, LLC
- Practice address
- 18700 Reynolds Rd
Meadville, PA 16335-3665 - Phone
- (814) 795-6310
- NPI assigned
- Jan 23, 2024
- Last updated
- Jan 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Elizabeth Kellerman, LPC
- Title
- Therapist
- Phone
- (814) 795-6310
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
18700 Reynolds Rd
Meadville, PA 16335-3665
Mailing address
1924 Keystone Dr # 1025
Erie, PA 16509-7702
Phone (814) 795-6310
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Meadville, PA
- NPI 1881159630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705968000000",
"number": "1457113748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 KEYSTONE DR # 1025",
"city": "ERIE",
"state": "PA",
"postal_code": "165097702",
"telephone_number": "814-795-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18700 REYNOLDS RD",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353665",
"telephone_number": "814-795-6310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELLERMAN'S COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-23",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A",
"authorized_official_last_name": "KELLERMAN",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "814-795-6310",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.