NPIMap

Organization Active NPI

Symmetry Transition Services

  • Adult Mental Health Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1104353994
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
CW017139 Issued in PA
Legal business name
SYMMETRY TRANSITION SERVICES
Practice address
1436 S 2ND St
Philadelphia, PA 19147-6104
Phone
(215) 370-4325
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Ms. Kimberly Ann Pakech, LCSW, LCADCNPI 1891068920
Title
VP of Clinical Services
Phone
(215) 370-4325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X CW017139 PA
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X CW017139 PA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X CW017139 PA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X CW017139 PA
PsychoanalystGroup: 193200000X MULTI-SPECIALTY GROUP 102L00000X CW017139 PA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CW017139 PA
Adult Mental Health Clinic/Center 261QM0850X CW017139 PA Primary

Addresses

Primary practice location

1436 S 2ND St
Philadelphia, PA 19147-6104

Mailing address

2208 S 3Rd St
Philadelphia, PA 19148-3301
Phone (215) 605-3998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1104353994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 S 3RD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483301",
            "telephone_number": "215-605-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 S 2ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191476104",
            "telephone_number": "215-370-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMMETRY TRANSITION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "PAKECH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VP OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "215-370-4325",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "PA",
            "license": "CW017139",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "CW017139",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW017139",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "CW017139",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "PA",
            "license": "CW017139",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017139",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "CW017139",
            "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 May 11, 2017; 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.