Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Julia Lieback

Individual provider Professional Counselor · NPI 1154107639

Julia Lieback is a Mental Health Counselor in West Pittston, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Thaxton Holistic Wellness Center, a 22-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2023

Practice location Address checks out

317 Fremont St
West Pittston, PA 18643-2219
Phone: (570) 472-8938
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X (PA)

Record details

NPI number1154107639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2023
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Thaxton Holistic Wellness Center — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Pittston