Active NPI
Wendy Elliott
- Counselor
- Philadelphia, PA
National Provider Identifier
1073339487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PC016584
- Practice address
- 2200 Benjamin Franklin Pkwy Apt S206
Philadelphia, PA 19130-3605 - Phone
- (814) 790-9055
- NPI assigned
- Dec 2, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC016584 | PA | Primary |
Addresses
Primary practice location
2200 Benjamin Franklin Pkwy Apt S206
Philadelphia, PA 19130-3605
Mailing address
2200 Benjamin Franklin Pkwy Apt S206
Philadelphia, PA 19130-3605
Phone (814) 790-9055
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC016584 | PA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1073339487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 BENJAMIN FRANKLIN PKWY APT S206",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191303605",
"telephone_number": "814-790-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BENJAMIN FRANKLIN PKWY APT S206",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191303605",
"telephone_number": "814-790-9055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "WENDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-02",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC016584",
"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 Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.