Valerie Bevilacqua

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

630 Fairview Rd
Swarthmore, PA 19081-2334

Phone

(610) 990-4232

NPI assigned

Mar 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• New Foundations, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Swarthmore, PA
  • NPI 1639769565
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1184200214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 FAIRVIEW RD STE 202",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812335",
            "telephone_number": "610-990-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FAIRVIEW RD",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812334",
            "telephone_number": "610-990-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVILACQUA",
        "first_name": "VALERIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "120530831001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SWARTHMORE",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "630 Fairview Rd Ste 202",
            "city": "Swarthmore",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190812335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joanna Barton
• Being Well Therapy, LLC/ a Place to Be Counseling D.B.a.
• Andrea L Belasco, MD
• Heather Mary Bellini, M.A., L.P.C.
• Elizabeth Berman
• Bio-Medical Applications of Pennsylvania, Inc.
• Elizabeth Bjick-Larsen, PH.D.
• Neal Edward Bozentka, D.M.D.
• Virginia Brabender Virginia Brabender, PH.D.
• John Brodsky, M.D.

• Mental Health Counselor in Swarthmore, PA
• Providers in Swarthmore, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.