Active NPI
Juley Anne Moberg, M.S. L.P.C.
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1023440369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC006241
- Practice address
- 6122 Ridge Ave
Philadelphia, PA 19128 - Phone
- (215) 487-1330
- Fax
- (215) 487-1641
- NPI assigned
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC006241 | PA | Primary |
Addresses
Primary practice location
6122 Ridge Ave
Philadelphia, PA 19128
Mailing address
635 Bobbin Mill Rd
Media, PA 19063
Phone (610) 566-0776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC006241 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1023440369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 BOBBIN MILL RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "19063",
"telephone_number": "610-566-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6122 RIDGE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19128",
"telephone_number": "215-487-1330",
"fax_number": "215-487-1641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOBERG",
"first_name": "JULEY",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "M.S. L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC006241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.