James Michael Kleidon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC014941 Issued in PA

Practice address

50 James Buchanan Rd
Thorndale, PA 19372-1132

Phone

(610) 200-6222

Fax

(484) 784-5660

NPI assigned

Oct 6, 2022

Last updated

Oct 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Human Services IncGroup PAC ID 2062495476, 5 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.

• Human Services, Inc

  • Adult Mental Health Clinic/Center
  • Coatesville, PA
  • NPI 1245403237
  Medicare reassignment Care Compare group NPD
• Human Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coatesville, PA
  • NPI 1154887693
  NPD

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1508581091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3139 PRINCETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491523",
            "telephone_number": "215-338-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 JAMES BUCHANAN RD",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721132",
            "telephone_number": "610-200-6222",
            "fax_number": "484-784-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIDON",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PC014941",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Elizabeth Henry, ND
• Human Services Inc
• Ingleside Medical Associates LLC
• Josemi Ebby Joseph, FNP
• Marc Anthony Juliano, LPC
• Luisa Mescia Knecht, LSW, SSW
• Sara Michelle Kuhn, PT, CSCS
• Matthew David Lapp, D.C.
• Kathleen Kent Lawlor, M.D.
• Richard C Lemay, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.
• 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.