Active NPI
Purple House Project PA Inc.
- Social Worker
- Philadelphia, PA
National Provider Identifier
1174359798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- PURPLE HOUSE PROJECT PA INC.
- Practice address
- 2532 N Broad St
Philadelphia, PA 19132-4013 - Phone
- (480) 754-9564
- NPI assigned
- Sep 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine J Brunson, LSW
- Title
- Executive Director
- Phone
- (267) 332-6141
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2532 N Broad St
Philadelphia, PA 19132-4013
Mailing address
114 Staley Ave
Collingdale, PA 19023-1917
Phone (267) 332-6141
Other practice location 1
5011 Wayne Ave
Philadelphia, PA 19144-3641
Phone (267) 332-6141
National Provider Directory
National Provider DirectoryLocations
5011 Wayne Ave
Philadelphia, PA 19144
Phone (267) 332-6141
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": "1725926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725926400000",
"number": "1174359798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 STALEY AVE",
"city": "COLLINGDALE",
"state": "PA",
"postal_code": "190231917",
"telephone_number": "267-332-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2532 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191324013",
"telephone_number": "480-754-9564"
}
],
"practiceLocations": [
{
"address_1": "5011 Wayne Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191443641",
"country_code": "US",
"telephone_number": "267-332-6141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PURPLE HOUSE PROJECT PA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-10",
"last_updated": "2024-09-10",
"certification_date": "2024-09-09",
"status": "A",
"authorized_official_last_name": "BRUNSON",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "267-332-6141",
"authorized_official_credential": "LSW"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.