Individual provider Active NPI

Anu Chemmacheril Thomas

  • Counselor
  • Philadelphia, PA
National Provider Identifier
1083092902
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1315 Windrim Ave
Philadelphia, PA 19141-2710
Phone
(215) 456-2735
Fax
(215) 456-2729
NPI assigned
May 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1315 Windrim Ave
Philadelphia, PA 19141-2710

Mailing address

1315 Windrim Ave
Philaldpehia, PA 19141
Phone (215) 456-2735

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
I20240426003003 PA Practitioner - Mental Health Counselor 0840630687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services CurrentSince Mar 11, 2024 Accepting new patients

Locations

727 Welsh Rd
Ste 202
Huntingdon Vy, PA 19006
Phone (215) 914-2119

Organizations & group practices 1

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1083092902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 WINDRIM AVE",
            "city": "PHILALDPEHIA",
            "state": "PA",
            "postal_code": "19141",
            "telephone_number": "215-456-2735",
            "fax_number": "215-456-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WINDRIM AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412710",
            "telephone_number": "215-456-2735",
            "fax_number": "215-456-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANU",
        "middle_name": "CHEMMACHERIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.