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CONNELLSVILLE COUNSELING & PSYCHOLOGICAL SERVICES, LLC
NPI 1275844789
Community/Behavioral Health in Connellsville, PA

Active since June 30, 2010
416 S PITTSBURGH ST, CONNELLSVILLE, PA 15425(724) 626-8420(724) 628-0898 Get Directions Write a Review

NPPES record last updated: June 30, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Connellsville Counseling & Psychological Services, Llc NPPES

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

CONNELLSVILLE COUNSELING & PSYCHOLOGICAL SERVICES, LLC (NPI 1275844789) is a healthcare organization registered as a community/behavioral health in Connellsville, Pennsylvania and active in the NPI registry since June 2010. The organization lists Roxane Mongelluzzo, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1275844789
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCONNELLSVILLE COUNSELING & PSYCHOLOGICAL SERVICES, LLC
Location Address416 S PITTSBURGH STConnellsville, PA 15425-4003
Mailing Address416 S Pittsburgh StConnellsville, PA 15425-4003 · (724) 626-8420 · Fax (724) 628-0898
Phone(724) 626-8420
Fax(724) 628-0898
Organization SubpartNo
Authorized OfficialRoxane MongelluzzoClinical Director · (724) 626-8420
Enumeration DateJune 30, 2010
✔ NPI 1275844789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in PA · TO BE ASSIGNED
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
416 S PITTSBURGH ST, Connellsville, PA 15425
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Other Identifiers 1

MedicaidTO BE ASSIGNEDPA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connellsville Counseling & Psychological Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Connellsville Counseling & Psychological Services, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Clinical Social Worker6
Clinical Psychologist1
Mental Health Counselor1
Nurse Practitioner1
Psychiatry1

Clinicians, nearest first (10)

Karen Barkley, LSW
Clinical Social Worker
NPI 1265497200
416 S PITTSBURGH ST
Connellsville, PA 15425
(724) 626-8420
✔ PECOS✔ Accepts MedicareSame address
Krista Boyer
Clinical Psychologist
NPI 1487988986
416 S PITTSBURGH ST
Connellsville, PA 15425
(724) 626-8420
✔ PECOS✔ Accepts MedicareSame address
Ben Brinkley, M.D.
Psychiatry
NPI 1801958798
416 S PITTSBURGH ST
Connellsville, PA 15425
(724) 626-8420
✔ PECOS✔ Accepts MedicareSame address
Jennifer Fosbrink, LCSW
Clinical Social Worker
NPI 1851653380
416 S PITTSBURGH ST
Connellsville, PA 15425
(724) 626-8420
✔ PECOS✔ Accepts MedicareSame address
April Mccrum, LSW
Clinical Social Worker
NPI 1194249342
416 S PITTSBURGH ST
Connellsville, PA 15425
(724) 626-8420
✔ PECOS✔ Accepts Medicare0.5 mi
Jasmine Debeary, MSW
Clinical Social Worker
NPI 1174185177
416 S PITTSBURGH ST
Connellsville, PA 15425
(724) 626-8420
✔ PECOS✔ Accepts Medicare0.6 mi
Melissa Dickinson, LMSW
Clinical Social Worker
NPI 1043733926
416 S PITTSBURGH ST
Connellsville, PA 15425
(724) 626-8420
✔ PECOS✔ Accepts Medicare0.6 mi
Elizabeth Henry
Mental Health Counselor
NPI 1114377108
416 S PITTSBURGH ST
Connellsville, PA 15425
(724) 626-8420
✔ PECOS✔ Accepts Medicare0.6 mi
Deseree Birdseye, LSW
Clinical Social Worker
NPI 1417829185
609 N CHURCH ST
Mt Pleasant, PA 15666
(724) 626-8420
✔ PECOS✔ Accepts Medicare10.0 mi
Heather Penzera-Ulicne, CRNP
Nurse Practitioner
NPI 1740495142
8775 NORWIN AVE SUITE 108
North Huntingdon, PA 15642
(724) 765-1225
✔ PECOS✔ Accepts Medicare21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Connellsville Counseling & Psychological Services, LLC's NPI number?

The NPI number for Connellsville Counseling & Psychological Services, LLC is 1275844789. It was assigned to this organization in the NPPES registry on June 30, 2010.

Where is Connellsville Counseling & Psychological Services, LLC located?

Connellsville Counseling & Psychological Services, LLC is located at 416 S Pittsburgh St, Connellsville, PA 15425. The listed phone number is (724) 626-8420.

What is Connellsville Counseling & Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Connellsville Counseling & Psychological Services, LLC enrolled in Medicare?

Yes. Connellsville Counseling & Psychological Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connellsville Counseling & Psychological Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Connellsville Counseling & Psychological Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (6), Clinical Psychologist (1) and Mental Health Counselor (1). Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Connellsville Counseling & Psychological Services, LLC was last updated on June 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.