Healthcare Provider Details

I. General information

NPI: 1497646210
Provider Name (Legal Business Name): JACQUELINE NICOLE BILSKI LAPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 PINE HALL RD STE 100
STATE COLLEGE PA
16801-5107
US

IV. Provider business mailing address

15 VALLEY VIEW RD
LOCK HAVEN PA
17745-4029
US

V. Phone/Fax

Practice location:
  • Phone: 814-308-8375
  • Fax:
Mailing address:
  • Phone: 570-660-9626
  • Fax: 570-660-9626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC001422
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: