Organization Active NPI

Keystone Christian Counseling & Life Coaching, LLC

  • Professional Counselor
  • Greensburg, PA
National Provider Identifier
1841077666
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KEYSTONE CHRISTIAN COUNSELING & LIFE COACHING, LLC
Practice address
22 Westview Dr
Greensburg, PA 15601-1241
Phone
(724) 461-5816
NPI assigned
Sep 14, 2023
Last updated
Sep 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Tommy Jones, MA, LPCNPI 1760960512
Title
Owner
Phone
(724) 612-8469

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

22 Westview Dr
Greensburg, PA 15601-1241

Mailing address

101 Bovard Rd
Greensburg, PA 15601-9370
Phone (724) 612-8469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250918001777 PA Part B Supplier - Clinic/Group Practice 8224532684 Receives reassigned benefits from 2 practitioners
Practice locations: Greensburg, PA

National Provider Directory

National Provider Directory

Locations

22 Westview Dr
Greensburg, PA 15601
Phone (724) 261-9300

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1841077666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BOVARD RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019370",
            "telephone_number": "724-612-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WESTVIEW DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156011241",
            "telephone_number": "724-461-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE CHRISTIAN COUNSELING & LIFE COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-612-8469",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.