Individual provider Active NPI

Roccoline Kulka, MSW

  • Mental Health Counselor
  • Huntingdon Valley, PA
National Provider Identifier
1255376356
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CW015090 Issued in PA
Practice address
2910 Franks Rd
Suite 1
Huntingdon Valley, PA 19006-4215
Phone
(215) 947-8654
Fax
(215) 938-7607
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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 CW015090 PA Primary

Addresses

Primary practice location

2910 Franks Rd
Suite 1
Huntingdon Valley, PA 19006-4215

Mailing address

2910 Franks Rd
Suite 1
Huntingdon Valley, PA 19006-4215
Phone (215) 947-8654

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW015090PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Growth Opportunity Center Past Accepting new patients

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1255376356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 FRANKS RD",
            "address_2": "SUITE 1",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064215",
            "telephone_number": "215-947-8654",
            "fax_number": "215-938-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 FRANKS RD",
            "address_2": "SUITE 1",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064215",
            "telephone_number": "215-947-8654",
            "fax_number": "215-938-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULKA",
        "first_name": "ROCCOLINE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW015090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.