Individual provider Active NPI

Joseph L. Nines, PH.D., L.M.F.T.

  • Marriage & Family Therapist
  • Flourtown, PA
National Provider Identifier
1033480736
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000626 Issued in PA
Practice address
12 E Mill Rd
Flourtown, PA 19031-2027
Phone
(215) 836-4276
Fax
(215) 233-1081
NPI assigned
Jan 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF000626 PA Primary

Addresses

Primary practice location

12 E Mill Rd
Flourtown, PA 19031-2027

Mailing address

12 E Mill Rd
Flourtown, PA 19031-2027
Phone (215) 836-4276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140123000353 PA Practitioner - Clinical Social Worker 5698903565 Practice locations: Flourtown, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 E Mill Rd
Flourtown, PA 19031-2027
Phone (215) 836-4276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MF000626PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph L. Nines, LLC Current Accepting new patients

Locations

12 E Mill Rd
Flourtown, PA 19031
Phone (215) 767-4390

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1033480736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E MILL RD",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190312027",
            "telephone_number": "215-836-4276",
            "fax_number": "215-233-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E MILL RD",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190312027",
            "telephone_number": "215-836-4276",
            "fax_number": "215-233-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINES",
        "first_name": "JOSEPH",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-26",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flourtown, PA

Sources for this page

Verify at the official NPI Registry.