Kirsten Alison Dollman

Individual provider Active NPI Mental Health Counselor · Pottstown, PA

NPI 1962075002 · NPPES record last updated Jul 16, 2021

Key facts

NPI
1962075002
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
11 Robinson St
Pottstown, PA 19464-6421
Phone
(484) 941-0500
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Wellbeing Nationwide PA (21 clinicians)

Practice addresses (Care Compare)

State College, PA 16803
Phone (352) 445-1200

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260622000176 PA Practitioner - Clinical Social Worker 7214400340 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

11 Robinson St
Pottstown, PA 19464-6421

Mailing address

11 Robinson St
Pottstown, PA 19464-6421

Other providers in Pottstown, PA

All providers in Pottstown, PA · Mental Health Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.