Individual provider Active NPI

Colton James Klosinski

  • Professional Counselor
  • Phoenixville, PA
National Provider Identifier
1902557002
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC013637 Issued in PA
Practice address
225 High St Ste 100
Phoenixville, PA 19460-1336
Phone
(814) 308-0704
NPI assigned
Jan 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 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 PC013637 PA Primary

Addresses

Primary practice location

225 High St Ste 100
Phoenixville, PA 19460-1336

Mailing address

315 S Allen St Ste 117
State College, PA 16801-4848
Phone (814) 308-0704

Other practice location 1

315 S Allen St Ste 117
State College, PA 16801-4848
Phone (814) 308-0704

Other names 1

  • Colton Hagar Former name

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
I20231212002313 PA Practitioner - Mental Health Counselor 6305295684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centre Counseling and Wellness LLCGroup PAC ID 8527413400, 4 clinicians

Practice addresses (Care Compare)

225 High St
Phoenixville, PA 19460-1336
Phone (814) 308-0704

315 S Allen St
State College, PA 16801-4851
Phone (814) 308-0704

357 W Main St
Suite D
Trappe, PA 19426-1976
Phone (610) 466-5748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC013637PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients
Centre Counseling and Wellness, LLC CurrentSince Jul 1, 2024 Accepting new patients
Nestled Mind Counseling Professional CurrentSince May 1, 2026 Accepting new patients

Locations

1950 Street Rd
Ste 410
Bensalem, PA 19020
Phone (215) 782-6844

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279

315 S Allen St
Ste 117
State College, PA 16801
Phone (814) 308-0704

315 S Allen St
Ste 326
State College, PA 16801
Phone (814) 308-0704

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1902557002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S ALLEN ST STE 117",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014848",
            "telephone_number": "814-308-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HIGH ST STE 100",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601336",
            "telephone_number": "814-308-0704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Allen St Ste 117",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168014848",
            "country_code": "US",
            "telephone_number": "814-308-0704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOSINSKI",
        "first_name": "COLTON",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-11",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLTON",
            "last_name": "HAGAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.