Active NPI
Jacqueline A Fusco, M.A., LMFT
- Marriage & Family Therapist
- Levittown, PA
National Provider Identifier
1134480916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF000651
- Practice address
- 1609 Woodbourne Rd
Suite 401 B
Levittown, PA 19057-1500 - Phone
- (215) 932-9873
- NPI assigned
- Jun 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF000651 | PA | Primary |
Addresses
Primary practice location
1609 Woodbourne Rd
Suite 401 B
Levittown, PA 19057-1500
Mailing address
3300 Neshaminy Blvd
Apt 539
Bensalem, PA 19020-1755
Phone (215) 932-9873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MF000651 | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1134480916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 NESHAMINY BLVD",
"address_2": "APT 539",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190201755",
"telephone_number": "215-932-9873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 WOODBOURNE RD",
"address_2": "SUITE 401 B",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190571500",
"telephone_number": "215-932-9873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSCO",
"first_name": "JACQUELINE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "M.A., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-07",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Levittown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.