Individual provider Active NPI

Felicia P. Roche, LPC

  • Professional Counselor
  • Glenside, PA
National Provider Identifier
1134945314
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC017878 Issued in PA
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

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826002154 PA Practitioner - Mental Health Counselor 9133629868 Reassigns benefits to 1 organization

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
Vitae Health Medical Pennsylvania LLCGroup PAC ID 4183014293, 11 clinicians

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

LicenseStateTypeSpecialty
PC017878PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Pennsylvania LLC CurrentSince Aug 1, 2025 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

Verify at the official NPI Registry.