Individual provider Active NPI

Kelly Nicole O'Hanlon, MS, LPC

  • Professional Counselor
  • Bethlehem, PA
National Provider Identifier
1841900495
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC018055 Issued in PA
Practice address
74 W Broad St
Bethlehem, PA 18018-5738
Phone
(484) 619-2104
Fax
(484) 251-8554
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 PC018055 PA Primary

Addresses

Primary practice location

74 W Broad St
Bethlehem, PA 18018-5738

Mailing address

9 E Goepp St
Bethlehem, PA 18018-2817
Phone (484) 619-2104

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
I20250110000828 PA Practitioner - Mental Health Counselor 3173051794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aruht Partners IncGroup PAC ID 0446799175, 11 clinicians

Practice addresses (Care Compare)

2151 Emrick Blvd
Suite 201
Bethlehem, PA 18020-8039
Phone (484) 537-7515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC018055PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aruht Partners Inc CurrentSince Jan 7, 2025 Accepting new patients
Authentic Minds Psychotherapy LLC Professional CurrentSince Oct 12, 2025 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Aug 22, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2151 Emrick Blvd
Ste 201
Bethlehem, PA 18020
Phone (484) 537-7515

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

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": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1841900495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E GOEPP ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182817",
            "telephone_number": "484-619-2104",
            "fax_number": "484-251-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185738",
            "telephone_number": "484-619-2104",
            "fax_number": "484-251-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HANLON",
        "first_name": "KELLY",
        "middle_name": "NICOLE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC018055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.