Individual provider Active NPI

Kelli Rene Schulthess, LPC

  • Professional Counselor
  • Reading, PA
National Provider Identifier
1780241984
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011154 Issued in PA
Practice address
1800 N 12TH St
Reading, PA 19604-1545
Phone
(610) 816-5728
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC011154 PA Primary

Addresses

Primary practice location

1800 N 12TH St
Reading, PA 19604-1545

Mailing address

301 Wegman Rd
Reading, PA 19606-9719
Phone (610) 763-2318

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
I20240122004102 PA Practitioner - Mental Health Counselor 1456703776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2851 Centre Ave
Reading, PA 19605-2567
Phone (610) 763-2318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC011154PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kelli Schulthess LPC Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients
Haven Behavioral Services of Reading, LLC Past Accepting new patients
Berkshire Psychiatric & Behavioral Health Services, PLLC Professional PastSince May 18, 2020 Accepting new patients

Locations

2851 Centre Ave
Reading, PA 19605
Phone (610) 705-6514

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1780241984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WEGMAN RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069719",
            "telephone_number": "610-763-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N 12TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041545",
            "telephone_number": "610-816-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTHESS",
        "first_name": "KELLI",
        "middle_name": "RENE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.