Individual provider Active NPI

Chelsea Powlus Renna, PSY.D.

  • Clinical Psychologist
  • Bethlehem, PA
National Provider Identifier
1669884789
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017591 Issued in PA
Practice address
2045 Westgate Dr
Bethlehem, PA 18017-7480
Phone
(610) 865-8177
NPI assigned
May 22, 2014
Last updated
Apr 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS017591 PA Primary

Addresses

Primary practice location

2045 Westgate Dr
Bethlehem, PA 18017-7480

Mailing address

2045 Westgate Dr
Suite 304
Bethlehem, PA 18017-7480
Phone (610) 865-8177

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150601001023 PA Practitioner - Clinical Psychologist 1355662511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Next Chapter Counseling LLCGroup PAC ID 9739613548, 4 clinicians

Practice addresses (Care Compare)

4949 Liberty LN
Suite 140
Allentown, PA 18106-9058
Phone (484) 205-9840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS017591PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Chapter Counseling LLC CurrentSince Nov 1, 2024 Accepting new patients
Quaker State Medical Services Co Inc Past Accepting new patients

Locations

4949 Liberty Ln
Ste 140
Allentown, PA 18106
Phone (484) 205-9840

15 E Walnut St
Nazareth, PA 18064
Phone (570) 234-6885

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1669884789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 WESTGATE DR",
            "address_2": "SUITE 304",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177480",
            "telephone_number": "610-865-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 WESTGATE DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177480",
            "telephone_number": "610-865-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNA",
        "first_name": "CHELSEA",
        "middle_name": "POWLUS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.