Groundwork Counseling & Wellness Inc

Key facts

NPI: 1699448779
Entity type: Organization (NPI type 2)
Primary specialty: Clinical Social Worker 1041C0700X
Legal business name: GROUNDWORK COUNSELING & WELLNESS INC
Practice address: 400 E Main St Ste 2
Palmyra, PA 17078-1829
Phone: (717) 833-4898
NPI assigned: Jul 26, 2021
Organization subpart: No

Authorized official

Name: Heidi L Kohr, LCSW NPI 1043442551
Title: President/Licensed Therapist
Phone: (717) 799-4193

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Heidi L Kohr, LCSW Clinical Social Worker · Palmyra, PA · NPI 1043442551

Medicare reassignment NPD Authorized official CLINICAL · PA

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20211104000115	PA	Part B Supplier - Clinic/Group Practice	4385032739	Receives reassigned benefits from 1 practitioner Practice locations: Palmyra, PA

National Provider Directory

Locations

1335 E Chocolate Ave
Hershey, PA 17033
Phone (717) 204-4310

400 E Main St
Ste 2
Palmyra, PA 17078
Phone (717) 833-4898

1200 E Main St
Ste 2
Palmyra, PA 17078
Phone (717) 483-7662

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YP2500X
Clinical Social Worker Group: 193200000X MULTI-SPECIALTY GROUP	1041C0700X			Yes

Addresses

Primary practice location

400 E Main St Ste 2
Palmyra, PA 17078-1829

Mailing address

400 E Main St Ste 2
Palmyra, PA 17078-1829
Phone (717) 833-4898

Other providers in Palmyra, PA

All providers in Palmyra, PA · Clinical Social Worker in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.