Active NPI
David Adam Arena, PSY.D., M.S., M.ED.
- Professional Counselor
- Leesport, PA
National Provider Identifier
1922308162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC6509
- Practice address
- 5 S Centre Ave
Suite A5
Leesport, PA 19533-8653 - Phone
- (215) 939-8429
- NPI assigned
- Oct 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC005641 | PA | |
| Professional Counselor | 101YP2500X | CC6509 | ME | Primary |
Addresses
Primary practice location
5 S Centre Ave
Suite A5
Leesport, PA 19533-8653
Mailing address
148 Robby Dr
Leesport, PA 19533-9434
Phone (215) 939-8429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240108000097 | ME | Practitioner - Mental Health Counselor | 5597113738 |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
118 Moosehead TRL
Suite 5
Newport, ME 04953-4056
39 Capitol Hill Rd
New Sweden, ME 04762-3500
607 Sheridan Dr
Clearfield, PA 16830-4037
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC005641 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belonging Medical Group PLLC | Current | Accepting new patients | |
| Berks Hypnosis and Counseling Services LLC | Professional | Past | Accepting new patients |
Locations
103 India St
Portland, ME 04101
Phone (207) 874-8446
7 Oak Hill Ter
Ste 205
Scarborough, ME 04074
Interoperability endpoints
- david.arenalcpc.p1@direct.hhcme.nextgenshare.com
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.
-
- Professional Counselor
- Leesport, PA
- NPI 1215203146
-
- General Practice Physician
- Hanover, NH
- NPI 1912482787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1922308162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 ROBBY DR",
"city": "LEESPORT",
"state": "PA",
"postal_code": "195339434",
"telephone_number": "215-939-8429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 S CENTRE AVE",
"address_2": "SUITE A5",
"city": "LEESPORT",
"state": "PA",
"postal_code": "195338653",
"telephone_number": "215-939-8429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARENA",
"first_name": "DAVID",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "PSY.D., M.S., M.ED.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-21",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC005641",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC6509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.