| Kelly O'connor, MS | |
|
2600 W 9th St, 4th Flr, Chester, PA 19013-2040 | |
| (610) 497-7200 | |
| Not Available |
| Full Name | Kelly O'connor |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 19 Years |
| Location | 2600 W 9th St, Chester, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174676530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diamond State Counseling Llc | 1850700899 | 6 |
| Entity Name | Diamond State Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854590 PECOS PAC ID: 1850700899 Enrollment ID: O20210504002084 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly O'connor, MS 5553 Doral Dr, Wilmington, DE 19808-2628 Ph: (302) 530-8441 | Kelly O'connor, MS 2600 W 9th St, 4th Flr, Chester, PA 19013-2040 Ph: (610) 497-7200 |
Erika Pileggi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 W 15th St, Chester, PA 19013 Phone: 610-619-8600 | |
Cassandra Kathryn Wayson Gergely, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 W 15th St, Chester, PA 19013 Phone: 610-619-8799 | |
Keanu Kalani Lapot, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Medical Center Blvd, Chester, PA 19013 Phone: 856-404-4044 | |
Ms. Ebony Anitra Finney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 W 9th St, Chester, PA 19013 Phone: 610-497-7589 Fax: 610-497-7711 | |
Vivian Tyler, AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 W 15th St, Chester, PA 19013 Phone: 610-619-8741 | |
Zakaria Ben-adam, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1104 Hyatt St, Chester, PA 19013 Phone: 267-324-7429 | |
John Muehsam, M-DIV, BA CCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 W 9th St, Chester, PA 19013 Phone: 610-497-7200 Fax: 610-497-7654 |