Colby Agostinelli, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

COLBY AGOSTINELLI, LLC

Doing business as

Philly Couples & Sex Therapy

Practice address

255 S 17TH St Ste 2100
Philadelphia, PA 19103-6211

Phone

(410) 608-0066

NPI assigned

Mar 2, 2023

Last updated

Mar 2, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Colby Agostinelli, LMFTNPI 1891385597

Title

Director

Phone

(410) 608-0066

Specialties & licenses 1

Addresses

Other names 1

• Philly Couples & Sex Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Colby C Agostinelli, LMFT, CST

  • Marriage & Family Therapist
  • Philadelphia, PA
  • NPI 1891385597
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1003515602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 KIMBALL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST STE 2100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036211",
            "telephone_number": "410-608-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLBY AGOSTINELLI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "AGOSTINELLI",
        "authorized_official_first_name": "COLBY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-608-0066",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philly Couples & Sex Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerietina Lorraine Colbert
• Luke Colbourn
• Robert Colbourn, MD
• Colleen Colbridge Green, PNP
• Kadeem Malik Colburn
• Marc Colby, DDS
• Brenda Colclough
• Sydney Agnes Coldren, MD
• Kalia C. Cole-Avery, CRNP
• Jennifer Lynn Cole-Pucci, PSY.D.

• Marriage & Family Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.