Individual provider Active NPI

Chelsea Reitz

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1194380691
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC016730 Issued in PA
Practice address
709 N 2ND St Ste 400
Philadelphia, PA 19123-3108
Phone
(302) 273-3926
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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 PC016730 PA Primary

Addresses

Primary practice location

709 N 2ND St Ste 400
Philadelphia, PA 19123-3108

Mailing address

508 Wilson PL
Reading, PA 19607-2832
Phone (484) 883-8348

Other practice location 1

1335 E Chocolate Ave
Hershey, PA 17033-1117
Phone (302) 273-3926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241107000779 NJ Practitioner - Mental Health Counselor 7618401084 Reassigns benefits to 1 organization
I20241204003317 PA Practitioner - Mental Health Counselor 7618401084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Stop Wellness MD LLCGroup PAC ID 1951768001, 2 clinicians

Practice addresses (Care Compare)

2418 E York St
Philadelphia, PA 19125-3006
Phone (302) 273-3926

525 Route 73 N
Suite 117
Marlton, NJ 08053-3422
Phone (302) 273-3926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
One Stop Wellness MD LLC CurrentSince Sep 10, 2024 Accepting new patients

Locations

5 Greentree Ctr
Ste 117
Marlton, NJ 08053
Phone (609) 474-0106

309 Fellowship Rd
Ste 200
Mount Laurel, NJ 08054
Phone (267) 408-6770

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJHHDD/Endpoint/GJHHDD

Organizations & group practices 1

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": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1194380691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 WILSON PL",
            "city": "READING",
            "state": "PA",
            "postal_code": "196072832",
            "telephone_number": "484-883-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N 2ND ST STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233108",
            "telephone_number": "302-273-3926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1335 E Chocolate Ave",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170331117",
            "country_code": "US",
            "telephone_number": "302-273-3926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REITZ",
        "first_name": "CHELSEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.