Theodoredis Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THEODOREDIS COUNSELING LLC

Doing business as

Lehigh Valley Counselors

Practice address

2045 Westgate Dr Ste 206
Bethlehem, PA 18017-7475

Phone

(610) 730-3422

NPI assigned

Oct 18, 2017

Last updated

Jan 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stan Theodoredis

Title

Owner

Phone

(610) 596-4222

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lehigh Valley Counselors Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 6

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.

• Melissa Johnson, LCSW

  • Clinical Social Worker
  • Bethlehem, PA
  • NPI 1134981848
  Medicare reassignment Care Compare group NPD
• Stanley Theodoredis, LPC, CAADC

  • Mental Health Counselor
  • Hellertown, PA
  • NPI 1467992032
  Medicare reassignment Care Compare group NPD
• Stephanie Barnett, MACC, CAADC, LPC

  • Professional Counselor
  • Bethlehem, PA
  • NPI 1093146995
  Medicare reassignment NPD
• Alexandra Judith Kay, MA, ATR-BC

  • Mental Health Counselor
  • Mount Pocono, PA
  • NPI 1528606308
  Medicare reassignment NPD
• Kessa King

  • Counselor
  • Bethlehem, PA
  • NPI 1770295008
  NPD
• Keith D Fox, M.S.

  • Professional Counselor
  • Allentown, PA
  • NPI 1376641498
  NPD (past)

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1528579471",
    "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": "610-596-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 WESTGATE DR STE 206",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177475",
            "telephone_number": "610-730-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODOREDIS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "THEODOREDIS",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-596-4222"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "14097224",
            "identifier": "CAQH",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICNESE",
            "identifier": "009228",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lehigh Valley Counselors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Robert Theiss, M.D.
• Eva Benner Theobald
• Brent Theriault, ATC, LAT
• Stephanie Thiel, CRNP
• Patricia Marie Thomas McCloskey, MA
• Jeannette Thomas-Brown, M.ED.
• Ansa M Thomas, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.