NPIMap

Organization Active NPI

The Lincoln Center for Family and Youth

  • Mental Health Counselor
  • Audubon, PA
National Provider Identifier
1104687367
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE LINCOLN CENTER FOR FAMILY AND YOUTH
Practice address
1100 Adams Ave Ste 100
Audubon, PA 19403-2404
Phone
(610) 389-9090
NPI assigned
Jan 16, 2024
Organization subpart
Yes
Parent organization
THE LINCOLN CENTER FOR FAMILY AND YOUTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Emily Gatto, LCSWNPI 1225574486
Title
Director
Phone
(610) 389-9090

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

1100 Adams Ave Ste 100
Audubon, PA 19403-2404

Mailing address

1100 Adams Ave Ste 100
Audubon, PA 19403-2404
Phone (610) 389-9090

Other practice location 1

201 King Of Prussia Rd Ste 650
Radnor, PA 19087-5156
Phone (610) 389-9090

Other names 1

  • TLC Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240708004009 PA Part B Supplier - Clinic/Group Practice 2860937406 Receives reassigned benefits from 5 practitioners
Practice locations: Audubon, PA

National Provider Directory

National Provider Directory
Tax ID family
Lincoln Center for Fam2 organizations share this tax ID, including this one
Part of
Lincoln Center for Fam

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1100 Adams Ave
Ste 100
Norristown, PA 19403
Phone (610) 277-3715

1100 Adams Ave
Norristown, PA 19403
Phone (610) 277-3715

Practitioners & affiliated clinicians

Practitioners 9

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": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1104687367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ADAMS AVE STE 100",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194032404",
            "telephone_number": "610-389-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ADAMS AVE STE 100",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194032404",
            "telephone_number": "610-389-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 King Of Prussia Rd Ste 650",
            "address_purpose": "LOCATION",
            "city": "Radnor",
            "state": "PA",
            "postal_code": "190875156",
            "country_code": "US",
            "telephone_number": "610-389-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE LINCOLN CENTER FOR FAMILY AND YOUTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE LINCOLN CENTER FOR FAMILY AND YOUTH",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "GATTO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-389-9090",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Audubon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.