Active NPI
Allyson Trull, MS, LMHC, LPC
- Mental Health Counselor
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC01496
- Practice address
- 6407 Wayne Ave Apt A1
Philadelphia, PA 19119-3631 - Phone
- (978) 761-0630
- NPI assigned
- Apr 15, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PA016359 | PA | |
| Mental Health Counselor | 101YM0800X | MHC01496 | RI | Primary |
Addresses
Primary practice location
6407 Wayne Ave Apt A1
Philadelphia, PA 19119-3631
Mailing address
6407 Wayne Ave Apt A1
Philadelphia, PA 19119-3631
Phone (978) 761-0630
Other practice location 1
249 Roosevelt Ave Unit 205
Pawtucket, RI 02860-2134
Phone (978) 761-0630
Other practice location 2
223 Summit Ave
Fort Washington, PA 19034-1525
Phone (215) 718-1072
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241126002528 | PA | Practitioner - Mental Health Counselor | 3971038043 | Practice locations: Philadelphia, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
345 E Mount Airy Ave
Philadelphia, PA 19119-1114
Phone (774) 314-9892
6407 Wayne Ave
Philadelphia, PA 19119-3655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC01496 | RI | MD | Mental Health Counselor |
| PA016359 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Connecticut, P.C. | Clinical | Current | Accepting new patients |
| Restoration and Wellness LLC | Current | Accepting new patients | |
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients |
Locations
156 S Bethlehem Pike
Ambler, PA 19002
Phone (215) 767-7096
1777 Sentry Pkwy W
Blue Bell, PA 19422
Phone (215) 767-7096
223 Summit Ave
Ft Washington, PA 19034
Phone (844) 448-5672
7 Neshaminy Interplex Dr
Trevose, PA 19053
Organizations & group practices 4
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.
-
- Counseling Psychologist
- Ambler, PA
- NPI 1710768882
-
- Counseling Psychologist
- Philadelphia, PA
- NPI 1811778988
-
- Adult Mental Health Clinic/Center
- Fort Washington, PA
- NPI 1770172033
-
- Clinical Social Worker
- Providence, RI
- NPI 1730972944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1184243446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6407 WAYNE AVE APT A1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191193631",
"telephone_number": "978-761-0630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6407 WAYNE AVE APT A1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191193631",
"telephone_number": "978-761-0630"
}
],
"practiceLocations": [
{
"address_1": "249 Roosevelt Ave Unit 205",
"address_purpose": "LOCATION",
"city": "Pawtucket",
"state": "RI",
"postal_code": "028602134",
"country_code": "US",
"telephone_number": "978-761-0630",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "223 Summit Ave",
"address_purpose": "LOCATION",
"city": "Fort Washington",
"state": "PA",
"postal_code": "190341525",
"country_code": "US",
"telephone_number": "215-718-1072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRULL",
"first_name": "ALLYSON",
"credential": "MS, LMHC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-15",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PA016359",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC01496",
"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 25, 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.