KELLY MASON (NPI# 1306476528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306476528 |
Entity Type | Individual |
Full Name | KELLY MASON |
Other Name | KELLY OLENA |
Credential | MS, LPC, CAADC |
Practice Address |
313 W Liberty St Ste 124 Lancaster PA 17603-2766 |
Mailing Address |
313 W Liberty St Ste 350 Lancaster PA 17603-2780 |
Practice Telephone | 7173979118 |
Practice Fax Number | 7173973514 |
Mailing Telephone | 7179474750 |
Enumeration Date | 2020-01-16 |
Last Update Date | 2020-07-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12303 | PA | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
PC011270 | PA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
313 W Liberty St Ste 350, Lancaster, PA 176032780 | 7179474750 | 7179104544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477951838 | Kelly Mckinney Mason | Physical Therapist | 13808 Wild Turkey Pass, Austin, TX 78734-3336 | 2014-12-16 |
1538462270 | Kelly Jean Mason | Specialist/Technologist | 6 1/2 Beech St, East Millinocket, ME 04430-1152 | 2010-12-20 |
1255456919 | Kelly Mason | Specialist | 280 Vine St, Seaman, OH 45679-9702 | 2007-03-20 |
1992868806 | Kelly Murphy Mason | Social Worker | 315 E 90th St, #3e, New York, NY 10128-5269 | 2006-12-19 |
1003848979 | Kelly Mason | Family Medicine | 1701 Baldwin Ave Ste 102, Pontiac, MI 48340-1168 | 2006-07-07 |
1003807926 | Kelly Ann Mason | Speech-Language Pathologist | 877 Ygnacio Valley Rd, Walnut Creek, CA 94596-3878 | 2005-10-31 |
1780284430 | Kelly Marie Mason | Nurse Anesthetist, Certified Registered | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-30 |
1174095012 | Kelly Mason | Occupational Therapist | 2832 E Flamingo Rd, Las Vegas, NV 89121-5205 | 2018-12-17 |
1457840522 | Kelly Mason | Physical Therapy Assistant | 401 Monticello Ave, Lynchburg, VA 24501-5617 | 2018-05-04 |
1538427398 | Kelly Mason | Behavioral Analyst | 500 Fairway Dr, Suite 102, Deerfield Beach, FL 33441-1814 | 2012-04-30 |
Street Address |
313 W LIBERTY ST STE 124 |
City | LANCASTER |
State | PA |
Zip Code | 17603-2766 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235757311 | Meadow Grove Counseling, LLC | Counselor | 822 Marietta Avenue, Lancaster, PA 17603 | 2020-07-06 |
1386274355 | Bristeena K Peter | Registered Nurse | 122 Broadstone St, Lancaster, PA 17603 | 2020-01-18 |
1164926457 | Kelly Fickett | Registered Nurse | 100 Rohrstown Rd, Suite A, Lancaster, PA 17603 | 2018-03-21 |
1063929115 | Lancaster Behavioral Health Hospital LLC | Psychiatric Hospital | 333 Harrisburg Ave, Lancaster, PA 17603 | 2018-01-10 |
1659880458 | Young Men's Christian Association of Lancaster County | Health Educator | 265 Harrisburg Ave, Lancaster, PA 17603 | 2017-09-25 |
1447779228 | Joshua Michael Saez | Licensed Practical Nurse | 410 N Prince St., Lancaster, PA 17603 | 2017-09-13 |
1689190126 | Leeann Koch | Audiologist | 2160 Noll Drive, Suite 100, Lancaster, PA 17603 | 2017-08-16 |
1972950327 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 354 N. Prince Street, Suite 120, Lancaster, PA 17603 | 2016-05-16 |
1366804833 | Yesenia Colon Rivera | Psychologist | 812 North Prince St., Lancaster, PA 17603 | 2016-03-24 |
1073975959 | Laura Morse | Counselor | 48 N Queen St, Lancaster, PA 17603 | 2016-03-22 |
Find all providers in zip 17603 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922606037 | Diy Psyschology, Pllc | Counselor | 16 S West End Ave Apt 2, Lancaster, PA 17603-3210 | 2020-10-12 |
1134737539 | Jennifer Lynn Mansfield | Counselor | 366 Atkins Ave, Lancaster, PA 17603-4938 | 2020-07-21 |
1235757311 | Meadow Grove Counseling, LLC | Counselor | 822 Marietta Avenue, Lancaster, PA 17603 | 2020-07-06 |
1215571401 | Jamie Wolfe | Counselor | 2501 Oregon Pike Ste 105, Lancaster, PA 17601-4890 | 2019-10-31 |
1700443504 | Sarah A Kunkel | Counselor | 2121 Oregon Pike # 201, Lancaster, PA 17601-4604 | 2019-05-28 |
1598229239 | Kurt Duane Winn | Counselor | 255 N Dallas Ave Ste 101, Lancaster, TX 75146-2445 | 2019-01-28 |
1073088043 | Rachel Bonser | Counselor | 1681 Crown Ave Ste 10, Lancaster, PA 17601-6303 | 2018-10-05 |
1558863381 | Diana Dawn Mathis-thornton | Counselor | 533 Francis St, Lancaster, TX 75146-2321 | 2018-03-07 |
1699295535 | Arisah-virlee Iona Muhammad | Counselor | 45104 Trevor Ave, Lancaster, CA 93534-2674 | 2017-06-21 |
1386186054 | John W Poston Jr. | Counselor | 2209 Bridle Path Dr, Lancaster, TX 75146-2039 | 2016-11-12 |
Find all providers in LANCASTER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.