Ivyland Counseling Center, Inc.
Organization Active NPI Clinical Psychologist · Warminster, PA
NPI 1497837355 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1497837355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS015521 (PA)
- Legal business name
- IVYLAND COUNSELING CENTER, INC.
- Practice address
- 1210 Old York Rd
Ste 202
Warminster, PA 18974-2013 - Phone
- (215) 444-9204
- Fax
- (215) 444-9206
- NPI assigned
- Oct 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Glenn Allen Heinrichs, PH.D.
- Title
- Ceo
- Phone
- (215) 444-9204
Practitioners 66
-
Christopher Ballintyn, MA, NCC
-
Tibor Baukal, LPC
-
Andrea David, LPCMH
-
Jay Dickinson, MA, LPC
-
William B. Ennis, LPC
-
Amanda Falivene-Rocco, MA, LPC, CPRP
-
Glenn Allen Heinrichs, PH.D.
-
Adam Kaluzshner, PSY.D.
-
Jessica King, LSW
-
Jason Leitmeyer, LCSW
-
Nicolette Morrone, M.ED
-
Krystal Phillips, LMFT
-
Kathleen Rooney, LPC
-
Alexis Kremp, MSW, LICSW
-
Benjamin Andrew Richter, LPC, CAADC
-
Evelyn M. Campbell, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070105000362 | PA | Part B Supplier - Clinic/Group Practice | 5698775146 |
Receives reassigned benefits from 35 practitioners Practice locations: Warminster, PA; New Hope, PA; Quakertown, PA |
National Provider Directory
Locations
4 Village Sq
Ste 12
New Hope, PA 18938
Phone (215) 444-9204
515 S West End Blvd
Ste 201
Quakertown, PA 18951
Phone (215) 444-9204
1210 Old York Rd
Ste 202
Warminster, PA 18974
Phone (215) 444-9204
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | PS015521 | PA | Yes |
Addresses
Primary practice location
1210 Old York Rd
Ste 202
Warminster, PA 18974-2013
Mailing address
1210 Old York Rd
Ste 202
Warminster, PA 18974-2013
Phone (215) 444-9204
Other providers in Warminster, PA
- Saundra Hyman
- Kathryn E Idell
- Sergey Ikonostasov
- Inner Growth Counseling, LLC
- Irvin M Liebman, M.D. PC
- Ivyland Medical Center
- Kelsey Han Jachimowicz
- Rosalie Jacobs
- Jag Cares, Inc
- Charles Frank Jagger
All providers in Warminster, PA · Clinical Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.