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

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: July 19, 2026.

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 7

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

ANDREA HAAS-ENGLEBACH
Counselor
845 N PARK RD
WYOMISSING, PA 19610
Berks County (484) 459-6423
RECHARGE YOUR LIFE LLC
Counselor (Mental Health)
845 N PARK RD
WYOMISSING, PA 19610
Berks County (484) 269-6752
RICHARD J CARON FOUNDATION
Clinic/Center (Rehabilitation, Substance Use Disorder)
845 N PARK RD, SUITE 201
WYOMISSING, PA 19610
Berks County (800) 678-2332
MAJUANA MAYO LSW
Social Worker (Clinical)
845 N PARK RD
WYOMISSING, PA 19610
Berks County (484) 709-1381
LAURA TJARKS
Counselor (Professional)
845 N PARK RD
WYOMISSING, PA 19610
Berks County (484) 709-1381
ANYELINA M HERNANDEZ DE LA ROSA LPC
Counselor (Professional)
845 N PARK RD, STE 101
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

Frequently Asked Questions

What is BERKS THERAPEUTIC ALLIANCE's NPI number?

The NPI number assigned to this healthcare provider is 1497167167, enumerated as an "organization" on May 28, 2014.

Where is the provider located?

The provider is located at 845 N PARK RD SUITE 101 WYOMISSING, PA 19610 and the phone number is (610) 334-8131.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

What insurance does BERKS THERAPEUTIC ALLIANCE accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.