Individual provider Active NPI

Roussel Javier, LPC

  • Professional Counselor
  • Bethlehem, PA
National Provider Identifier
1215517925
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015325 Issued in PA
Practice address
3201 Highfield Dr Ste C
Bethlehem, PA 18020-1113
Phone
(484) 548-0636
NPI assigned
Apr 8, 2021
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 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 PC015325 PA Primary

Addresses

Primary practice location

3201 Highfield Dr Ste C
Bethlehem, PA 18020-1113

Mailing address

3201 Highfield Dr Ste C
Bethlehem, PA 18020-1113
Phone (484) 548-0636

Other practice location 1

1950 Street Rd Ste 410
Bensalem, PA 19020-3752
Phone (484) 548-0536

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
I20231208000751 PA Practitioner - Mental Health Counselor 4082063631 Reassigns benefits to 1 organization

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
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1950 St Rd
Suite 410
Bensalem, PA 19020-3752
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC015325PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Inward Outward Counseling Services, LLC Professional CurrentSince Sep 23, 2024 Accepting new patients

Locations

1950 Street Rd
Ste 410
Bensalem, PA 19020
Phone (215) 782-6844

3201 Highfield Dr
Ste C
Bethlehem, PA 18020
Phone (484) 548-0636

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1215517925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 HIGHFIELD DR STE C",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201113",
            "telephone_number": "484-548-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 HIGHFIELD DR STE C",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201113",
            "telephone_number": "484-548-0636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Street Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190203752",
            "country_code": "US",
            "telephone_number": "484-548-0536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAVIER",
        "first_name": "ROUSSEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.