Individual provider Active NPI

Lauren Ivy Rosenthal, MS, LPC

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1174240246
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC010851 Issued in PA
Practice address
255 S 17TH St FL 9
Philadelphia, PA 19103-6209
Phone
(215) 608-0040
Fax
(267) 227-9989
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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 PC010851 PA Primary

Addresses

Primary practice location

255 S 17TH St FL 9
Philadelphia, PA 19103-6209

Mailing address

1634 Reed St
Philadelphia, PA 19146-4741
Phone (703) 801-0876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC010851PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Equilibria Mental Health Services PastSince Oct 1, 2022 Accepting new patients
Equilibria Psychological and Consultation Services, LLC PastSince Oct 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1174240246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 REED ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464741",
            "telephone_number": "703-801-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST FL 9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036209",
            "telephone_number": "215-608-0040",
            "fax_number": "267-227-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "LAUREN",
        "middle_name": "IVY",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.