DENISE L WHALEN MA
NPI 1295736296
Counselor in Pottsville, PA

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
450 N CLAUDE A LORD BLVD, POTTSVILLE, PA 17901(570) 622-1025(570) 628-4344 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Denise L Whalen Ma NPPES

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

DENISE L WHALEN MA (NPI 1295736296) is an individual counselor in Pottsville, Pennsylvania, licensed in Pennsylvania (PC001938) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1295736296
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDENISE L WHALENCredential: MA
Location Address450 N CLAUDE A LORD BLVDPottsville, PA 17901-2706
Mailing Address450 N Claude A Lord BlvdPottsville, PA 17901-2706 · (570) 622-1025 · Fax (570) 628-4344
Fax(570) 628-4344
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 2, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1295736296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in PA · PC001938
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
450 N CLAUDE A LORD BLVD, Pottsville, PA 17901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Denise L Whalen 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 ID547590051
PECOS Enrollment IDI20240223002459
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Denise Whalen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
115 SOUTH CENTRE STREET LOWER LEVEL
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 9 clinicians in this Medicare group
Surgery
48 TUNNEL RD, SUITE 203
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 124 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 5

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

Social Worker
450 N CLAUDE A LORD BLVD
POTTSVILLE, PA 17901
Psychologist
450 N CLAUDE A LORD BLVD
POTTSVILLE, PA 17901
Psychologist
450 N CLAUDE A LORD BLVD
POTTSVILLE, PA 17901
Counselor (Professional)
450 N CLAUDE A LORD BLVD
POTTSVILLE, PA 17901
Counselor (Professional)
450 N CLAUDE A LORD BLVD
POTTSVILLE, PA 17901

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 Denise Whalen's NPI number?

The NPI number for Denise Whalen is 1295736296. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Denise Whalen located?

Denise Whalen practices at 450 N Claude A Lord Blvd, Pottsville, PA 17901. The listed phone number is (570) 622-1025.

What is Denise Whalen's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Denise Whalen enrolled in Medicare?

Yes. Denise Whalen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Denise Whalen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Whalen reassigns Medicare benefits to 2 organizations: Psychological Associates Of Schuylkill County, LLC (Pottsville, PA) and Integrated Medical Group P C (Pottsville, PA). Each 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 Denise Whalen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Denise Whalen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.