Active NPI
Women'S Institute for Family Health
- Addiction (Substance Use Disorder) Counselor
- Philadelphia, PA
National Provider Identifier
1215086756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 807398
- Legal business name
- WOMEN'S INSTITUTE FOR FAMILY HEALTH
- Practice address
- 5936 Chestnut St
1St Floor
Philadelphia, PA 19139-3142 - Phone
- (215) 747-2391
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Roache
- Title
- Executive Director
- Phone
- (215) 747-2391
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 807398 | PA | Primary |
Addresses
Primary practice location
5936 Chestnut St
1St Floor
Philadelphia, PA 19139-3142
Mailing address
5936 Chestnut St
1St Floor
Philadelphia, PA 19139-3142
Phone (215) 747-2391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001974320 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
5936 Chestnut St
Fl 1
Philadelphia, PA 19139
Phone (215) 747-2391
5936 Chestnut St
Philadelphia, PA 19139
Phone (215) 747-2391
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Philadelphia, PA
- NPI 1679990667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289865600000",
"number": "1215086756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5936 CHESTNUT ST",
"address_2": "1ST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191393142",
"telephone_number": "215-747-2391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5936 CHESTNUT ST",
"address_2": "1ST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191393142",
"telephone_number": "215-747-2391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S INSTITUTE FOR FAMILY HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2010-11-16",
"status": "A",
"authorized_official_last_name": "ROACHE",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "215-747-2391"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PA",
"license": "807398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001974320",
"state": "PA"
}
],
"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 Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.