Premier Wellness Center LLC
NPI 1629864061ActiveOrganization· Counselor, Professional· Media, PA
Counselor, Professional in Media, Pennsylvania, registered in NPPES in April 2025. The authorized official on file is Amanda Koniewicz, PSY.D, LPC, Owner.
Overview
| NPI | 1629864061 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 15, 2025 |
| Last updated in NPPES | Sep 21, 2026 |
| Certified by provider | Sep 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Psychologist, Clinical | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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