Individual provider Active NPI

Kathleen Rooney, LPC

  • Marriage & Family Therapist
  • Fort Washington, PA
National Provider Identifier
1104941210
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
PC001096 Issued in PA
Practice address
550 Pinetown Rd
Ste 210
Fort Washington, PA 19034-2605
Phone
(215) 643-0200
Fax
(215) 643-9844
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X PC001096 PA Primary

Addresses

Primary practice location

550 Pinetown Rd
Ste 210
Fort Washington, PA 19034-2605

Mailing address

550 Pinetown Rd
Ste 210
Fort Washington, PA 19034-2605
Phone (215) 643-0200

Other identifiers 3

IdentifierTypeStateIssuer
7189775OtherPAAETNA
2633566000OtherPAKEYSTONE HEALTH PLAN EAST
2633566000OtherPAPERSONAL CHOICE

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
I20250124001879 PA Practitioner - Mental Health Counselor 3678706470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyland Counseling Center, Inc.Group PAC ID 5698775146, 23 clinicians

Practice addresses (Care Compare)

1210 Old York Rd
Suite 202
Warminster, PA 18974-2032
Phone (215) 444-9204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC001096PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyland Counseling Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Interface Psych Services, Inc Past Accepting new patients
Ron Lewis Associates Marriage & Family Therapist Past Accepting new patients

Locations

4 Village Sq
Ste 12
New Hope, PA 18938
Phone (215) 444-9204

1210 Old York Rd
Ste 202
Warminster, PA 18974
Phone (215) 444-9204

Organizations & group practices 3

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104941210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PINETOWN RD",
            "address_2": "STE 210",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342605",
            "telephone_number": "215-643-0200",
            "fax_number": "215-643-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PINETOWN RD",
            "address_2": "STE 210",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342605",
            "telephone_number": "215-643-0200",
            "fax_number": "215-643-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROONEY",
        "first_name": "KATHLEEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "PC001096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7189775",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2633566000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2633566000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

Verify at the official NPI Registry.