Penllyn Counseling Associates LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PENLLYN COUNSELING ASSOCIATES LLC

Practice address

589 Skippack Pike Ste 303
Blue Bell, PA 19422-2159

Phone

(215) 292-8437

NPI assigned

May 11, 2022

Last updated

May 11, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Judith F Kurtis, LCSWNPI 1164990701

Title

Owner

Phone

(215) 292-8437

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judith Kurtis, LCSW

  • Clinical Social Worker
  • Ambler, PA
  • NPI 1164990701
  Medicare reassignment Care Compare group NPD Authorized official
• Rachael Faye Rosenfeld, LCSW

  • Clinical Social Worker
  • Ambler, PA
  • NPI 1568979078
  Medicare reassignment Care Compare group NPD
• Jianrong Zhang, LSW

  • Social Worker
  • Bethlehem, PA
  • NPI 1780210302
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1952047987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 CASALS PL",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022735",
            "telephone_number": "215-292-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 SKIPPACK PIKE STE 303",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222159",
            "telephone_number": "215-292-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENLLYN COUNSELING ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "KURTIS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-292-8437",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreya Patel, CRNP
• Lydia Patselas, LPC
• Matthew Robert Pearson, ATC
• Karrington Elise Pease, MA, LPC
• David C. Peet Jr., MD
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #03011)
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #03799)
• Per Diem With Quality, Inc.
• Leonis Marie Perone, LCSW
• Amy Perrello

• Clinical Social Worker in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.