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KELSEY LEIGH EDSTROM MA
NPI 1780297952
Counselor - Addiction (Substance Use Disorder) in Dickson City, PA

Active since August 28, 2020
851 COMMERCE BLVD, DICKSON CITY, PA 18519(570) 489-5561 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 28, 2020 (2 updates tracked since 2020).

About Kelsey Leigh Edstrom Ma NPPES

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

KELSEY LEIGH EDSTROM MA (NPI 1780297952) is an individual addiction (substance use disorder) provider in Dickson City, Pennsylvania and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1780297952
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELSEY LEIGH EDSTROMCredential: MA
Location Address851 COMMERCE BLVDDickson City, PA 18519-1759
Mailing Address851 Commerce BlvdDickson City, PA 18519-1759 · (570) 489-5561
Phone(570) 489-5561
Sole ProprietorNo
Enumeration DateAugust 28, 2020
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
✔ NPI 1780297952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X

Other Providers at the Same Location NPPES 20

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

MELISSA M. RUSSINI MS, CCC/SLP
Speech-Language Pathologist
851 COMMERCE BLVD, SUITE 107
DICKSON CITY, PA 18519
Lackawanna County (570) 489-5561
ANGELINA K. KLUSS P.T.
Physical Therapist
851 COMMERCE BLVD, SUITE 107
DICKSON CITY, PA 18519
Lackawanna County (570) 489-5561
CHRISTINE MARIE MANCIA MS, OTR/L
Occupational Therapist
851 COMMERCE BLVD, SUITE 107
DICKSON CITY, PA 18519
Lackawanna County (570) 489-5561
KATHLEEN REAP P.T.
Physical Therapist
851 COMMERCE BLVD, SUITE 107
DICKSON CITY, PA 18519
Lackawanna County (570) 489-5561
DIANE WEBBER CCC-SLP
Speech-Language Pathologist
851 COMMERCE BLVD, SUITE 107
DICKSON CITY, PA 18519
Lackawanna County (570) 489-5561
MRS. LAURIE ANN MCHALE C.R.N.P.
Nurse Practitioner (Family)
851 COMMERCE BLVD
DICKSON CITY, PA 18519
Lackawanna County (570) 489-5561
MR. MICHAEL GRIER LPC
Counselor (Professional)
851 COMMERCE BLVD, SUITE 107
DICKSON CITY, PA 18519
Lackawanna County (570) 489-5561
ERICA OROCK PSY.D., NCSP
Psychologist (School)
851 COMMERCE BLVD
DICKSON CITY, PA 18519
Lackawanna County (570) 489-5561

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 Kelsey Edstrom's NPI number?

The NPI number for Kelsey Edstrom is 1780297952. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Kelsey Edstrom located?

Kelsey Edstrom practices at 851 Commerce Blvd, Dickson City, PA 18519. The listed phone number is (570) 489-5561.

What is Kelsey Edstrom'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 Kelsey Edstrom was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.