KELLY A. ROUGHGARDEN LPC
NPI 1750949384
Counselor - Professional in Moosic, PA
NPI Status: Active since May 29, 2019
Contact Information
340 MONTAGE MOUNTAIN RD
MOOSIC, PA
ZIP 18507
Phone: (570) 346-3686
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
- PECOS Enrolled
About KELLY ROUGHGARDEN
This page provides the complete NPI Profile along with additional information for Kelly Roughgarden, a provider established in Moosic, Pennsylvania with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1750949384 assigned on May 2019. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1750949384
- Provider Name
- KELLY A. ROUGHGARDEN LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507
- Location Phone
- (570) 346-3686
- Mailing Address
- 1535 QUINCY AVE DUNMORE, PA 18509
- Mailing Phone
- (570) 498-3129
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-29-2019
- Last Update Date
- 05-29-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License State
- PA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kelly Roughgarden is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for KELLY A. ROUGHGARDEN LPC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 9 | 4 | 9 | 3 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 18 | 4 | 18 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 8 + 4 + 1 + 8 + 3 + 1 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1750949384 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306956172 | MRS. TERESA M CLARK CRNP Individual | Nurse Practitioner | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
| 1326150509 | MR. JOSEPH JAMES FAUZIO JR. LCSW Individual | Social Worker (Clinical) | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
| 1447354196 | DANILO DE SOTO MD PC Organization | Psychiatry & Neurology (Psychiatry) | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 344-9266 |
| 1851461743 | DR. MARIAN LOUISE FARRELL PHD, APRN, PMH-BC, Individual | Nurse Practitioner (Psychiatric/Mental Health) | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
| 1932267200 | MS. DONNA J O'DONNELL LPC Individual | Counselor (Professional) | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
| 1629131370 | MRS. LYNN MARIE PONS LCSW Individual | Social Worker (Clinical) | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
| 1811033608 | MRS. DEIRDRE KATHLEEN MCGREEVY MSW, LCSW, CEAP Individual | Counselor (Mental Health) | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
| 1417088873 | MS. CAROL A DEVINE RN CNS Individual | Registered Nurse (Psychiatric/Mental Health, Adult) | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
| 1659596534 | MS. JOAN M ROGAN LCSW Individual | Social Worker (Clinical) | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
| 1902050420 | MARY ELLEN LYONS PA Individual | Physician Assistant | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 344-9266 |
| 1669626776 | MR. ROBERT J TRYZENSKI MA, LPC Individual | Counselor (Professional) | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
| 1689974073 | SHERRY ZESHONSKI CRNP Individual | Nurse Practitioner (Family) | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
| 1720421829 | MARY KEEGAN LCSW Individual | Social Worker (Clinical) | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
| 1205270410 | COMPREHENSIVE CARE CLINIC Organization | Clinic/Center (Primary Care) | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 589-0707 |
| 1720270978 | TINA HELENE GORDON MA, MFT Individual | Marriage & Family Therapist | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
| 1245668177 | LULA THOMAS Individual | Nurse Practitioner | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
| 1366567646 | ANNE L. KRUPA LCSW Individual | Social Worker (Clinical) | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
| 1730413808 | RACHEL GALATI Individual | Nurse Practitioner (Family) | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
| 1548682347 | KELSEY GAIL NATAUPSKY LMFT Individual | Marriage & Family Therapist | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
| 1003193202 | MRS. AMANDA LYN FIDIAM PA-C Individual | Physician Assistant (Medical) | 340 MONTAGE MOUNTAIN RD MOOSIC, PA 18507 (570) 346-3686 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750949384, enumerated in the NPI registry as an "individual" on May 29, 2019
The provider is located at 340 Montage Mountain Rd Moosic, Pa 18507 and the phone number is (570) 346-3686
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on May 29, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.