Liberty Lane Counseling LLP

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIBERTY LANE COUNSELING LLP

Practice address

4949 Liberty LN Ste 160
Allentown, PA 18106-9059

Phone

(484) 245-2115

NPI assigned

Feb 3, 2022

Last updated

Feb 3, 2022By 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

Candice Dugan

Title

General Partner

Phone

(215) 435-7142

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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.

• Kimberly Bruns, MSW, LCSW

  • Clinical Social Worker
  • Allentown, PA
  • NPI 1891032579
  Medicare reassignment Care Compare group NPD
• Susan Lovegrove Geise, MSW, LCSW

  • Clinical Social Worker
  • Allentown, PA
  • NPI 1740424233
  Medicare reassignment Care Compare group NPD
• Melissa G. Schaffer, MSW, LCSW

  • Clinical Social Worker
  • Allentown, PA
  • NPI 1699953455
  Medicare reassignment Care Compare group NPD
• Krista L Welter, MA, MS, LPC

  • Professional Counselor
  • Allentown, PA
  • NPI 1225386600
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1679227110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 DANIELLE DR",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381943",
            "telephone_number": "484-245-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 LIBERTY LN STE 160",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069059",
            "telephone_number": "484-245-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY LANE COUNSELING LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "DUGAN",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "215-435-7142"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuan Zhang Li, MD
• Danny Liaw, M.D.
• Cynthia Kagai Libale, RN/BSN
• Kara Laverne Liberatore
• Liberty Behavioral Health, Corp.
• Liberty Nursing Solutions LLC
• Katie M. Liberty, CRNA
• Carla Marie Lieb, PTA
• Amanda Lieberman, PA
• Jayme David Lieberman, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Allentown, PA
• Providers in Allentown, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.