Optimal Key Therapy LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

OPTIMAL KEY THERAPY LLC

Practice address

2105 Coventry LN
Glen Mills, PA 19342-9434

Phone

(610) 810-1864

NPI assigned

Mar 26, 2024

Last updated

Mar 26, 2024By 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

Kia Tanisha Medley-Stephens, MS, LPCNPI 1811534605

Title

Chief Executive Officer

Phone

(610) 620-5284

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kia Tanisha Medley-Stephens, LPC

  • Professional Counselor
  • Glen Mills, PA
  • NPI 1811534605
  NPD Authorized official

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1962252437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 COVENTRY LN",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193429434",
            "telephone_number": "610-810-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 COVENTRY LN",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193429434",
            "telephone_number": "610-810-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL KEY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "MEDLEY-STEPHENS",
        "authorized_official_first_name": "KIA",
        "authorized_official_middle_name": "TANISHA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "610-620-5284",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.