Individual provider Active NPI

Allyson Trull, MS, LMHC, LPC

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1184243446
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC01496 Issued in RI
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

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
MHC01496RIMDMental Health Counselor
PA016359PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. Clinical CurrentSince Sep 19, 2024 Accepting new patients
Restoration and Wellness LLC CurrentSince Jul 1, 2023 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Sep 19, 2024 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.

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

Verify at the official NPI Registry.