SUELLEN LOVELL KETTERER MA
NPI 1265904429
Counselor - Professional in Fleetwood, PA

Q: What is Suellen Ketterer's NPI number?

The NPI number for Suellen Ketterer is 1265904429. It was assigned to this individual provider in the NPPES registry on December 27, 2018.

Q: What is Suellen Ketterer'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 Suellen Ketterer was last updated on April 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 27, 2018PECOS EnrolledAccepts Medicare Assignment

1 W MAIN ST, FLEETWOOD, PA 19522(610) 944-0445 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2019, Dec 27, 2018 (2 updates tracked since 2018).

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About Suellen Lovell Ketterer Ma NPPES

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

SUELLEN LOVELL KETTERER MA (NPI 1265904429) is an individual professional provider in Fleetwood, Pennsylvania, licensed in Pennsylvania (PC011027) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1265904429

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSUELLEN LOVELL KETTERERCredential: MA

Location Address1 W MAIN STFleetwood, PA 19522-1323

Mailing Address1 W Main StFleetwood, PA 19522-1350 · (610) 944-0445

Phone(610) 944-0445

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateDecember 27, 2018

Last NPPES UpdateApril 9, 20192 updates tracked since enumeration

✔ NPI 1265904429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in PA · PC011027

1 W MAIN ST, Fleetwood, PA 19522

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Suellen Lovell Ketterer Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224486329

PECOS Enrollment IDI20240426001614

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MS. DIANE MARIE SPIGNESI-DILLMAN M.ED, LPC

Counselor (Professional)