Individual provider Active NPI

Robert Middleton Frazier III, MGPP, LPC

  • Professional Counselor
  • Huntingdon Valley, PA
National Provider Identifier
1043499072
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC010972 Issued in PA
Practice address
821 Huntingdon Pike Ste 204
Huntingdon Valley, PA 19006-8372
Phone
(215) 914-4190
NPI assigned
Oct 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X PC010972 PA Primary

Addresses

Primary practice location

821 Huntingdon Pike Ste 204
Huntingdon Valley, PA 19006-8372

Mailing address

1315 Windrim Ave
Philadelphia, PA 19141-2710
Phone (215) 456-2607

Other practice location 1

1315 Windrim Ave
Philadelphia, PA 19141-2710
Phone (215) 456-2607

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
I20240301001566 PA Practitioner - Mental Health Counselor 6305281205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1950 St Rd
Suite 410
Bensalem, PA 19020-3752
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC010972PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Feb 27, 2025 Accepting new patients
HR Physician Services PastSince Aug 8, 2021 Accepting new patients

Locations

1950 Street Rd
Ste 410
Bensalem, PA 19020
Phone (215) 782-6844

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279

Organizations & group practices 2

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": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1043499072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 WINDRIM AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412710",
            "telephone_number": "215-456-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 HUNTINGDON PIKE STE 204",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190068372",
            "telephone_number": "215-914-4190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 Windrim Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191412710",
            "country_code": "US",
            "telephone_number": "215-456-2607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "ROBERT",
        "middle_name": "MIDDLETON",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MGPP, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-26",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.