Jacquelyn Anne Farasat, MC, NCC, M.ED.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC011506 Issued in PA

Practice address

22 S 40TH St Ste 201B
Philadelphia, PA 19104-5827

Phone

(617) 379-0496

NPI assigned

Aug 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  NJ, PA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1245756246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S 40TH ST STE 201B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045827",
            "telephone_number": "617-379-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S 40TH ST STE 201B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045827",
            "telephone_number": "617-379-0496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 John F Kennedy Blvd Ste 1404",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191037417",
            "country_code": "US",
            "telephone_number": "215-398-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1518 Walnut St Ste And208",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191023419",
            "country_code": "US",
            "telephone_number": "215-642-8968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Chestnut St Ste And1520",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074331",
            "country_code": "US",
            "telephone_number": "215-544-2163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 LINCOLN HWY STE 224",
            "address_2": "STE 224",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203965",
            "country_code": "US",
            "telephone_number": "201-820-0057",
            "fax_number": "617-807-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARASAT",
        "first_name": "JACQUELYN",
        "middle_name": "ANNE",
        "credential": "MC, NCC, M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00902700",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011506",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC04190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monier Farah, D.C
• Viviane Farah, RPH
• Marni Elyse Farahi, DMD, MS
• Ehssan Faraji, MD
• Peter J. Farano, M.D.
• Abigail F Farber, M.D.
• Barry M. Farber, MD
• Harold Farber, M.D,
• Jason Farber, MD
• John L. Farber

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.