Stanley Theodoredis, LPC, CAADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC009228 Issued in PA

Practice address

42 Main St
Hellertown, PA 18055-1743

Phone

(610) 730-3422

NPI assigned

Mar 2, 2017

Last updated

Feb 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theodoredis Counseling LLCGroup PAC ID 2567711963, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Theodoredis Counseling LLC

  dba Lehigh Valley Counselors

  • Professional Counselor
  • Bethlehem, PA
  • NPI 1528579471
  Medicare reassignment Care Compare group NPD
• Dianne Marino Surovcik PHD Dba DMS Psychological Services, LLC

  dba DMS Psychological Services LLC

  • Clinical Psychologist
  • Hellertown, PA
  • NPI 1609110691
  NPD (past)

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1467992032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 WESTGATE DR STE 206",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177475",
            "telephone_number": "610-740-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MAIN ST",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180551743",
            "telephone_number": "610-730-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODOREDIS",
        "first_name": "STANLEY",
        "credential": "LPC, CAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-02",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC009228",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC009228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Luke's Physician Group, Inc.
• Allison Sterner
• Caronne Taylor Bloom, LPC, NCC
• The Acorn Center for Counseling and Education LLC
• The Giant Company, LLC (Giant Pharmacy #6043)
• Thrift Drug Inc (Rite Aid Pharmacy 11048)
• TLW Care Solutions LLC Dba Millbrook Homecare (Millbrook HomeCare)
• William Urbine, MED, LMFT
• W Michael Morrissey Jr MD PC
• Weston Care Center, LLC (Weston Rehabilitation & Nursing Center)

• Mental Health Counselor in Hellertown, PA
• Providers in Hellertown, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.