Organization Active NPI

JDV Wellness

  • Professional Counselor
  • Newtown Square, PA
National Provider Identifier
1124823398
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JDV WELLNESS
Practice address
2000 Bluebird VW Unit 2410
Newtown Square, PA 19073-2272
Phone
(917) 855-3248
NPI assigned
Feb 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Jason Vastardis, LPCNPI 1326583477
Title
President
Phone
(917) 855-3248

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2000 Bluebird VW Unit 2410
Newtown Square, PA 19073-2272

Mailing address

3553 W Chester Pike Unit 416
Newtown Square, PA 19073-3701
Phone (917) 855-3248

Other names 1

  • JDV Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

3553 West Chester Pike
Unit 416
Newtown Square, PA 19073

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": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1124823398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 W CHESTER PIKE UNIT 416",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733701",
            "telephone_number": "917-855-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BLUEBIRD VW UNIT 2410",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732272",
            "telephone_number": "917-855-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDV WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "VASTARDIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-855-3248",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JDV Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.