MRS. KENELEY BAUTISTA MS
NPI 1063196749
Counselor - Professional in Stroudsburg, PA

Q: What is Keneley Bautista's NPI number?

The NPI number for Keneley Bautista is 1063196749. It was assigned to this individual provider in the NPPES registry on June 13, 2023.

Q: What is Keneley Bautista's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Keneley Bautista was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 13, 2023

134 BROAD ST STE 2, STROUDSBURG, PA 18360(570) 856-4232 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2023, Jun 13, 2023 (2 updates tracked since 2023).

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About Mrs. Keneley Bautista Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KENELEY BAUTISTA MS (NPI 1063196749) is an individual professional provider in Stroudsburg, Pennsylvania and active in the NPI registry since June 2023. She maintains a secondary practice location in Bethlehem.

NPPES Registry Identity

NPI1063196749

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. KENELEY BAUTISTACredential: MS

Location Address134 BROAD ST STE 2Stroudsburg, PA 18360-1590

Mailing Address270 S College St Apt LAllentown, PA 18102-5791 · (610) 400-9365

Phone(570) 856-4232

Sole ProprietorNo

Enumeration DateJune 13, 2023

Last NPPES UpdateJune 19, 20232 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1063196749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

134 BROAD ST STE 2, Stroudsburg, PA 18360

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Secondary Practice Location 1

Location 190 S Commerce Way Ste 300Bethlehem, PA 18017-8611 · Phone (610) 691-8401

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON HORNER

Counselor (Professional)

134 BROAD ST STE 2
STROUDSBURG, PA 18360

Monroe County (570) 856-4232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keneley Bautista's NPI number?

The NPI number for Keneley Bautista is 1063196749. It was assigned to this individual provider in the NPPES registry on June 13, 2023.

Where is Keneley Bautista located?

Keneley Bautista practices at 134 Broad St Ste 2, Stroudsburg, PA 18360. The listed phone number is (570) 856-4232.

What is Keneley Bautista's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Keneley Bautista was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.