| Kgs Counseling | |
|
320 S State St Ste 6 Clarks Summit PA 18411-1590 | |
| (570) 351-2751 | |
| Not Available |
| Full Name | Kgs Counseling |
|---|---|
| Speciality | Counselor |
| Location | 320 S State St Ste 6, Clarks Summit, Pennsylvania |
| Authorized Official Name and Position | Kelly Vermeerensmith (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 5703512751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kgs Counseling 1327 Gravel Pond Rd Clarks Summit PA 18411-9457 Ph: (570) 351-2751 | Kgs Counseling 320 S State St Ste 6 Clarks Summit PA 18411-1590 Ph: (570) 351-2751 |
| NPI Number | 1760206957 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 04/15/2025 |
| Certification Date | 04/15/2025 |
| Medicare PECOS PAC ID | 4082130448 |
|---|---|
| Medicare Enrollment ID | O20250429001064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760206957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kelly Vermeeren-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376156844 PECOS PAC ID: 8224438965 Enrollment ID: I20210616003318 |
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