Embracing My Black Pen

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EMBRACING MY BLACK PEN

Practice address

501 Washington LN Ste 304
Jenkintown, PA 19046-3148

Phone

(267) 809-5433

NPI assigned

Jun 3, 2022

Organization subpart

No

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

Authorized official

Name

Seleme GilchristNPI 1568101848

Title

Owner

Phone

(267) 809-5433

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Seleme Gilchrist, LPC

  • Counselor
  • Jenkintown, PA
  • NPI 1568101848
  NPD Authorized official

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1053050344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7182 N UBER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191382116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WASHINGTON LN STE 304",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463148",
            "telephone_number": "267-809-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACING MY BLACK PEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "GILCHRIST",
        "authorized_official_first_name": "SELEME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-809-5433"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.