Individual provider Active NPI

Chelsee Firestone, LPC

  • Professional Counselor
  • Forty Fort, PA
National Provider Identifier
1922854850
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC017109 Issued in PA
Practice address
1169 Wyoming Ave
Forty Fort, PA 18704-4003
Phone
(570) 904-3699
Fax
(570) 227-1591
NPI assigned
Apr 30, 2024
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 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 PC017109 PA Primary

Addresses

Primary practice location

1169 Wyoming Ave
Forty Fort, PA 18704-4003

Mailing address

708 E County Rd
Wapwallopen, PA 18660-1518
Phone (570) 291-7797

Other practice location 1

708 E County Rd
Wapwallopen, PA 18660-1518
Phone (570) 291-7797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC017109PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Counseling CurrentSince Aug 10, 2025 Accepting new patients
Thaxton Holistic Wellness Center Professional PastSince May 1, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1922854850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E COUNTY RD",
            "city": "WAPWALLOPEN",
            "state": "PA",
            "postal_code": "186601518",
            "telephone_number": "570-291-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 WYOMING AVE",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044003",
            "telephone_number": "570-904-3699",
            "fax_number": "570-227-1591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 E County Rd",
            "address_purpose": "LOCATION",
            "city": "Wapwallopen",
            "state": "PA",
            "postal_code": "186601518",
            "country_code": "US",
            "telephone_number": "570-291-7797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIRESTONE",
        "first_name": "CHELSEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forty Fort, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.