Organization Active NPI

Stablemind Wellness, LLC

  • Clinical Social Worker
  • Bethlehem, PA
National Provider Identifier
1518721752
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STABLEMIND WELLNESS, LLC
Practice address
3235 Delong Ave
Bethlehem, PA 18020-2839
Phone
(484) 519-1805
NPI assigned
Feb 8, 2024
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Caitlin E Kolba, LCSWNPI 1780256024
Title
Ceo/Founder
Phone
(484) 519-1805

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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

3235 Delong Ave
Bethlehem, PA 18020-2839

Mailing address

3235 Delong Ave
Bethlehem, PA 18020-2839

Other practice location 1

2557 Ackermanville Rd
Bangor, PA 18013-9363
Phone (484) 519-1805

Other practice location 2

940 N New St Ste 125
Bethlehem, PA 18018-2756
Phone (484) 519-1805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260112001340 PA Part B Supplier - Clinic/Group Practice 9931685716 Receives reassigned benefits from 1 practitioner
Practice locations: Bangor, PA; Bethlehem, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1518721752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 DELONG AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180202839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 DELONG AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180202839",
            "telephone_number": "484-519-1805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2557 Ackermanville Rd",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "PA",
            "postal_code": "180139363",
            "country_code": "US",
            "telephone_number": "484-519-1805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 N New St Ste 125",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180182756",
            "country_code": "US",
            "telephone_number": "484-519-1805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STABLEMIND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "KOLBA",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "484-519-1805",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.