Individual provider Active NPI

Omar Alsaadi, LPC

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1184323057
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012167 Issued in PA
Practice address
1613 Germantown Ave Apt 105
Philadelphia, PA 19122-3027
Phone
(724) 590-0640
NPI assigned
Feb 28, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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 PC012167 PA Primary

Addresses

Primary practice location

1613 Germantown Ave Apt 105
Philadelphia, PA 19122-3027

Mailing address

1613 Germantown Ave Apt 105
Philadelphia, PA 19122-3027
Phone (724) 590-0640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC012167PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1184323057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 GERMANTOWN AVE APT 105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223027",
            "telephone_number": "724-590-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 GERMANTOWN AVE APT 105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223027",
            "telephone_number": "724-590-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSAADI",
        "first_name": "OMAR",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012167",
            "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 Feb 28, 2023; 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.