Organization Active NPI

Hispanic Community Counseling Services

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1194876052
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
138500 Issued in PA
Legal business name
HISPANIC COMMUNITY COUNSELING SERVICES
Practice address
3221 Kensington Ave
Philadelphia, PA 19134-1934
Phone
(215) 425-6900
Fax
(215) 425-6911
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Elizabeth Ayala
Title
VP Finance & Administration
Phone
(215) 423-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 138500 PA Primary

Addresses

Primary practice location

3221 Kensington Ave
Philadelphia, PA 19134-1934

Mailing address

3255 Kensington Ave
Philadelphia, PA 19134-1935
Phone (215) 423-5000

Other practice location 1

1952 E Allegheny Ave
Philadelphia, PA 19134-3122
Phone (215) 291-8151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110408000599 PA Part B Supplier - Clinic/Group Practice 0648454041 Receives reassigned benefits from 6 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

1952 E Allegheny Ave
#2
Philadelphia, PA 19134
Phone (215) 423-5000

3156 Kensington Ave
Philadelphia, PA 19134
Phone (215) 831-1100

3221 Kensington Ave
Philadelphia, PA 19134
Phone (215) 425-6900

3255 Kensington Ave
Philadelphia, PA 19134

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1194876052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 KENSINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341935",
            "telephone_number": "215-423-5000",
            "fax_number": "215-423-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 KENSINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341934",
            "telephone_number": "215-425-6900",
            "fax_number": "215-425-6911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1952 E Allegheny Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191343122",
            "country_code": "US",
            "telephone_number": "215-291-8151",
            "fax_number": "215-291-4128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HISPANIC COMMUNITY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "VP FINANCE & ADMINISTRATION",
        "authorized_official_telephone_number": "215-423-5000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "138500",
            "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 Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.