Donna Watson, LPC
Individual provider Active NPI Counselor · Mount Pocono, PA
NPI 1922538909 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1922538909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- PC009532 (PA)
- Practice address
- 1385 Pocono Blvd
Mount Pocono, PA 18344-1678 - Phone
- (570) 982-6331
- Fax
- (570) 421-3600
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC009532 | PA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keeping It Real Counseling, LLC | Current | Accepting new patients | |
| Forensic Counseling Associates, LLC | Single Specialty | Past |
Accepting new patients |
| Forensic Counseling Associates LLC | Single Specialty | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | PC009532 | PA | Yes |
Addresses
Primary practice location
1385 Pocono Blvd
Mount Pocono, PA 18344-1678
Mailing address
1385 Pocono Blvd
Mount Pocono, PA 18344-1678
Phone (570) 982-6331
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- Rosaura Viruet-Avillan
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- Wal-Mart Stores East, LP
- Robert B Watterson
- Brooke Weiss
- Karen Weiss
- Ashley Wesnak
- Jillian M Williams- Hopper
All providers in Mount Pocono, PA · Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.