Individual provider Active NPI

Christina Elizabeth Siewert, LPC

  • Professional Counselor
  • Allentown, PA
National Provider Identifier
1841902368
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014711 Issued in PA
Practice address
1150 Glenlivet Dr Ste A23
Allentown, PA 18106-3113
Phone
(844) 696-4631
NPI assigned
Dec 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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 PC014711 PA Primary

Addresses

Primary practice location

1150 Glenlivet Dr Ste A23
Allentown, PA 18106-3113

Mailing address

514 Briar Cir S
Kutztown, PA 19530-1004

Other identifiers 1

IdentifierTypeStateIssuer
PC014711OtherPAPA STATE BOARD OF SOCIAL WORKERS

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
I20231204000865 PA Practitioner - Mental Health Counselor 2668820549 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC014711PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Matters Coaching, Counseling, & Psychological Associates LLC CurrentSince Jan 1, 2024 Accepting new patients
Vitae Health Medical Pennsylvania LLC CurrentSince Sep 15, 2025 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

1150 Glenlivet Dr
Ste A23
Allentown, PA 18106
Phone (844) 696-4631

7800 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 722-2300

2209 Quarry Dr
Ste A10
Reading, PA 19609
Phone (610) 563-2052

Organizations & group practices 2

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": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1841902368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 BRIAR CIR S",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195301004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GLENLIVET DR STE A23",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181063113",
            "telephone_number": "844-696-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEWERT",
        "first_name": "CHRISTINA",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE BOARD OF SOCIAL WORKERS",
            "identifier": "PC014711",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.