Thomas C Kulesza, M.S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC000185 Issued in PA

Practice address

26 Ridge Rd
Lake Ariel, PA 18436-4063

Phone

(570) 698-5659

Fax

(570) 698-4013

NPI assigned

Feb 26, 2009

Last updated

Feb 26, 2009By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1558501858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 RIDGE RD",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184364063",
            "telephone_number": "570-698-5659",
            "fax_number": "570-698-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 RIDGE RD",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184364063",
            "telephone_number": "570-698-5659",
            "fax_number": "570-698-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULESZA",
        "first_name": "THOMAS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC000185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFIED COUNSELORS",
            "identifier": "10686",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Lake Ariel, PA
• Providers in Lake Ariel, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.