Old City Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

OLD CITY COUNSELING LLC

Practice address

124 Chestnut St Ste 16
Philadelphia, PA 19106-3009

Phone

(215) 486-6225

NPI assigned

Jul 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Holtsclaw

Title

Owner

Phone

(215) 486-6225

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Maxwell James Sloan, LPC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1275255051
  NPD

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1063185122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CHESTNUT ST STE 16",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063009",
            "telephone_number": "215-486-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CHESTNUT ST STE 16",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063009",
            "telephone_number": "215-486-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD CITY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "HOLTSCLAW",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-486-6225",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Olavarria, DSW, LCSW, LICSW
• Erika Olave Fajardo
• Olamide Kolawole Olawuni
• Olusayo Elizabeth Olayinka, OTR/L
• Oyindamola Folake Olayinka, MD
• Old City Emergency Physicians
• Old City Emergency Physicians
• Old City Orthodontics LLC (Independence Orthodontics)
• Old City Speech Therapy LLC
• Old York Health Clinic Inc

• Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.