Healthcare Provider Details

I. General information

NPI: 1992577027
Provider Name (Legal Business Name): KELSY JONES MS, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KELSY LANDIS MS, NCC

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 10/23/2023
Certification Date: 10/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 E SWAMP RD
QUAKERTOWN PA
18951-3936
US

IV. Provider business mailing address

2411 E SWAMP RD
QUAKERTOWN PA
18951-3936
US

V. Phone/Fax

Practice location:
  • Phone: 267-227-8473
  • Fax:
Mailing address:
  • Phone: 267-227-8473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: