Individual provider Active NPI

Roodlee Rheem Moisset, MS

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1245085638
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8500 Germantown Ave FL 2
Philadelphia, PA 19118-3317
Phone
(215) 970-9490
NPI assigned
Apr 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PA Primary

Addresses

Primary practice location

8500 Germantown Ave FL 2
Philadelphia, PA 19118-3317

Mailing address

1919 Cottman Ave
Philadelphia, PA 19111-3816
Phone (215) 728-4657

Other practice location 1

1919 Cottman Ave
Philadelphia, PA 19111-3816
Phone (215) 728-4657 ext. 4657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Hill Therapy Collective LLC Mental Health CurrentSince Apr 21, 2024 Accepting new patients

Locations

8500 Germantown Ave
#2
Philadelphia, PA 19118
Phone (215) 970-9490

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": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1245085638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113816",
            "telephone_number": "215-728-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 GERMANTOWN AVE FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183317",
            "telephone_number": "215-970-9490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 Cottman Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191113816",
            "country_code": "US",
            "telephone_number": "215-728-4657 x4657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOISSET",
        "first_name": "ROODLEE",
        "middle_name": "RHEEM",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": null,
            "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 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.