KEYSTONE BLUE HEN PC
NPI 1497167167
Counselor - Addiction (Substance Use Disorder) in Wyomissing, PA

Q: What is Berks Therapeutic Alliance's NPI number?

The NPI number for Berks Therapeutic Alliance is 1497167167. It was assigned to this organization in the NPPES registry on May 28, 2014. The provider is also known as Keystone Blue Hen PC.

Q: What is Berks Therapeutic Alliance's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since May 28, 2014

845 N PARK RD, SUITE 101, WYOMISSING, PA 19610(610) 334-8131 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Keystone Blue Hen Pc NPPES

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

KEYSTONE BLUE HEN PC (NPI 1497167167) is a healthcare organization registered as an addiction (substance use disorder) in Wyomissing, Pennsylvania and active in the NPI registry since May 2014. The organization lists Scot Mason Depue, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497167167

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameBERKS THERAPEUTIC ALLIANCE

Location Address845 N PARK RD, SUITE 101Wyomissing, PA 19610-1342

Mailing Address845 N Park Rd, Suite 101Wyomissing, PA 19610-1342 · (610) 334-8131

Phone(610) 334-8131

Organization SubpartNo

Authorized OfficialScot Mason DepueCeo · (484) 769-7626

Enumeration DateMay 28, 2014

✔ NPI 1497167167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in PA · MD426302

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License PC002868 (PA)

Also ListedEmergency MedicineTaxonomy 207P00000X · License MD426302 (PA)

845 N PARK RD, Wyomissing, PA 19610

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Other Names 1

Other NameKeystone Blue Hen Pc

Other Identifiers 1

Medicare UPINF52533PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

LAURA TJARKS

Counselor (Professional)

845 N PARK RD
WYOMISSING, PA 19610

Berks County (484) 709-1381

CHRISTA BUCKLEY

Counselor (Mental Health)

845 N PARK RD
WYOMISSING, PA 19610

Berks County (484) 269-6572

RICHARD J CARON FOUNDATION

Clinic/Center (Rehabilitation, Substance Use Disorder)

845 N PARK RD, SUITE 201
WYOMISSING, PA 19610

Berks County (800) 678-2332

TARA FLOHR

Counselor (Mental Health)

845 N PARK RD
WYOMISSING, PA 19610

Berks County (484) 345-4686

ANYELINA M HERNANDEZ DE LA ROSA LPC

Counselor (Professional)

845 N PARK RD, STE 101
WYOMISSING, PA 19610

Berks County (484) 709-1381

JONATHAN HESBOL

Counselor (Addiction (Substance Use Disorder))

845 N PARK RD
WYOMISSING, PA 19610

Berks County (484) 345-4679

GREGORY AUGUSTUS DAY LPC

Counselor (Addiction (Substance Use Disorder))

845 N PARK RD
WYOMISSING, PA 19610

Berks County (484) 345-4681

MS. COLLEEN GENSEMER

Counselor (Professional)

845 N PARK RD
WYOMISSING, PA 19610

Berks County (484) 269-6572

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 Berks Therapeutic Alliance's NPI number?

The NPI number for Berks Therapeutic Alliance is 1497167167. It was assigned to this organization in the NPPES registry on May 28, 2014. The provider is also known as Keystone Blue Hen PC.

Where is Berks Therapeutic Alliance located?

Berks Therapeutic Alliance is located at 845 N Park Rd Suite 101, Wyomissing, PA 19610. The listed phone number is (610) 334-8131.

What is Berks Therapeutic Alliance's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Berks Therapeutic Alliance was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.