MRS. JACQUELINE JUDETH COSTELLO-ATHERTON-ELY L.P.C.
NPI 1568547313
Counselor - Professional in Old Forge, PA

Q: What is Jacqueline Costello-atherton-ely's NPI number?

The NPI number for Jacqueline Costello-atherton-ely is 1568547313. It was assigned to this individual provider in the NPPES registry on October 26, 2006. The provider is also known as Ms. Jacqueline Judeth Costello L.P.C..

Q: What is Jacqueline Costello-atherton-ely's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since October 26, 2006

516 MOOSIC RD, OLD FORGE, PA 18518(570) 562-1166(570) 457-3779 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Jacqueline Judeth Costello-atherton-ely L.p.c. NPPES

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

MRS. JACQUELINE JUDETH COSTELLO-ATHERTON-ELY L.P.C. (NPI 1568547313) is an individual professional provider in Old Forge, Pennsylvania, licensed in Pennsylvania (PC002586) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1568547313

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. JACQUELINE JUDETH COSTELLO-ATHERTON-ELYCredential: L.P.C.

Location Address516 MOOSIC RDOld Forge, PA 18518-2027

Mailing Address516 Moosic RdOld Forge, PA 18518-2027 · (570) 562-1166 · Fax (570) 457-3779

Phone(570) 562-1166

Fax(570) 457-3779

Sole ProprietorYes

Enumeration DateOctober 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1568547313 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 · PC002586

516 MOOSIC RD, Old Forge, PA 18518

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Other Names 1

Professional Name (2)Ms. Jacqueline Judeth Costello L.p.c.

Other Identifiers 1

Medicaid0015080380002PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Jacqueline Costello-atherton-ely's NPI number?

The NPI number for Jacqueline Costello-atherton-ely is 1568547313. It was assigned to this individual provider in the NPPES registry on October 26, 2006. The provider is also known as Ms. Jacqueline Judeth Costello L.P.C..

Where is Jacqueline Costello-atherton-ely located?

Jacqueline Costello-atherton-ely practices at 516 Moosic Rd, Old Forge, PA 18518. The listed phone number is (570) 562-1166.

What is Jacqueline Costello-atherton-ely's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Jacqueline Costello-atherton-ely accept?

Health plans from Providence Health Plan list Jacqueline Costello-atherton-ely as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Costello-atherton-ely was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.