MEDICARE: KILEY ROGAN LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC012996	PA

General Provider Information

NPI Number	:	1518817287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KILEY ROGAN LPC

Provider Business Mailing Address
First Line	:	303 BAILEY ST
Second Line	:
City	:	SOUTH ABINGTON TOWNSHIP
State	:	PA
Zip	:	18411-8968
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	54 N MOUNTAIN BLVD
Second Line	:
City	:	MOUNTAIN TOP
State	:	PA
Zip	:	18707-1117
Country	:	US
Telephone Number	:	570-762-6358
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ KILEY ROGAN LPC” Practice Location

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