Individual provider Active NPI

Anne Waterman Klinger, MS,LPC,NCC

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1235335159
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
000410 Issued in PA
Practice address
22 E Chestnut Hill Ave
Philadelphia, PA 19118-2715
Phone
(215) 247-4067
Fax
(215) 753-8725
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 000410 PA Primary

Addresses

Primary practice location

22 E Chestnut Hill Ave
Philadelphia, PA 19118-2715

Mailing address

22 E Chestnut Hill Ave
Philadelphia, PA 19118-2715
Phone (215) 247-4067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000410PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235335159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 E CHESTNUT HILL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182715",
            "telephone_number": "215-247-4067",
            "fax_number": "215-753-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E CHESTNUT HILL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182715",
            "telephone_number": "215-247-4067",
            "fax_number": "215-753-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGER",
        "first_name": "ANNE",
        "middle_name": "WATERMAN",
        "credential": "MS,LPC,NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "000410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.