Samuel Albert, BA, CIP, CRS
Individual provider Active NPI Counselor · Jenkintown, PA
NPI 1013407568 · NPPES record last updated May 10, 2018
Key facts
- NPI
- 1013407568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 501 York Rd Unit 4 Renew Family Services LLC
Jenkintown, PA 19046 - Phone
- (267) 626-2018
- Fax
- (267) 636-5205
- NPI assigned
- May 10, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Family Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
501 York Rd Unit 4 Renew Family Services LLC
Jenkintown, PA 19046
Mailing address
501 York Rd Unit 4
Jenkintown, PA 19046-2254
Phone (267) 626-2018
Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.