SUELLEN LOVELL KETTERER (MA) – Professional Counselor, NPI 1265904429

SUELLEN LOVELL KETTERER (MA) is a healthcare provider. based in Fleetwood, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA. They hold a License No. PC011027 (PA). The NPI Number for SUELLEN LOVELL KETTERER (MA) is 1265904429

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
SUELLEN LOVELL KETTERER (MA)
NPI
1265904429
Phone
(610) 944-0445
Address
1 W MAIN ST
Enumeration Date
27 December 2018
Last Update Date
9 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
8224486329
Group Practice PAC ID
2769659945
Professional Enrollment ID
I20240426001614
Address ID
PA195221323FL1XXXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,541 MENTAL HEALTH COUNSELOR in PA

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Provider Addresses for SUELLEN LOVELL KETTERER (MA)

  • 1, West Main Street, Fleetwood, Berks County, Pennsylvania, 19522, United States

    FLEETWOOD, PA 195221350

    Phone: (610) 944-0445

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240426001614IMental Health CounselorPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19522)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769659945View full group profile
NameSpecialtyState
P S Y C H I A T R YPA
Mental Health CounselorPA
Mental Health CounselorPA
Clinical PsychologistPA
Clinical Social WorkerPA
Clinical Social WorkerPA
-PA
Clinical Social WorkerPA
Mental Health CounselorPA
-PA

Reviews

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Frequently asked questions

Does SUELLEN LOVELL KETTERER (MA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SUELLEN LOVELL KETTERER (MA) uses 1265904429.
Does the file indicate SUELLEN LOVELL KETTERER (MA) is practicing under active NPI?
Directory data currently reports SUELLEN LOVELL KETTERER (MA) as active.
What is SUELLEN LOVELL KETTERER (MA)'s primary classification?
Professional Counselor is the headline specialty for SUELLEN LOVELL KETTERER (MA) here. Clinical services aligned with this taxonomy classification.
What area does SUELLEN LOVELL KETTERER (MA) serve?
SUELLEN LOVELL KETTERER (MA)'s listing highlights Fleetwood, Pennsylvania; more addresses can appear in NPPES.
Is the information about SUELLEN LOVELL KETTERER (MA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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