Active NPI
Sebastian Rimehaug, LPC
- Professional Counselor
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC016456
- Practice address
- 6122 Ridge Ave
Philadelphia, PA 19128-1603 - Phone
- (215) 487-1330
- NPI assigned
- Dec 12, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC016456 | PA | Primary |
Addresses
Primary practice location
6122 Ridge Ave
Philadelphia, PA 19128-1603
Mailing address
3902 Lancaster Ave # 3
Philadelphia, PA 19104-4606
Phone (315) 786-4643
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
156 S Bethlehem Pike
Ambler, PA 19002-5821
Phone (215) 767-7096
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC016456 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients | |
| Intercommunity Action, Inc | Current | Accepting new patients | |
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients |
Locations
156 S Bethlehem Pike
Ambler, PA 19002
Phone (215) 767-7096
403 Rector St
Philadelphia, PA 19128
Phone (215) 487-1750
6122 Ridge Ave
Philadelphia, PA 19128
Phone (215) 508-6700
7 Neshaminy Interplex Dr
Trevose, PA 19053
Interoperability endpoints
- sebastian.rimehaug.1@28623.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba Springfield Behavioral of Pennsylvania
- Counseling Psychologist
- Philadelphia, PA
- NPI 1811778988
-
- Community/Behavioral Health Agency
- Phila, PA
- NPI 1730224445
-
dba Mindful Changes Counseling of Pennsylvania
- Counseling Psychologist
- Lancaster, PA
- NPI 1558133587
-
- Clinical Social Worker
- Providence, RI
- NPI 1730972944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1073381844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 LANCASTER AVE # 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044606",
"telephone_number": "315-786-4643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6122 RIDGE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191281603",
"telephone_number": "215-487-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIMEHAUG",
"first_name": "SEBASTIAN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-12",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC016456",
"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 Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.