Active NPI
Felicia P. Roche, LPC
- Professional Counselor
- Glenside, PA
National Provider Identifier
1134945314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC017878
- Practice address
- 16 E Glenside Ave Apt B
Glenside, PA 19038-4520 - Phone
- (215) 303-5409
- NPI assigned
- Dec 3, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC017878 | PA | Primary |
Addresses
Primary practice location
16 E Glenside Ave Apt B
Glenside, PA 19038-4520
Mailing address
16 E Glenside Ave Apt B
Glenside, PA 19038-4520
Phone (215) 303-5409
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7800 Bustleton Ave
Philadelphia, PA 19152-3812
Phone (215) 722-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC017878 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical Pennsylvania LLC | Current | Accepting new patients |
Locations
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
7800 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 722-2300
Organizations & group practices 1
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": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1134945314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 E GLENSIDE AVE APT B",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190384520",
"telephone_number": "215-303-5409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 E GLENSIDE AVE APT B",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190384520",
"telephone_number": "215-303-5409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHE",
"first_name": "FELICIA",
"middle_name": "P.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC017878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenside, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.