Individual provider Active NPI

Susannah Halsey, LPC

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1285485193
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC016799 Issued in PA
Practice address
7340 Jackson St
Philadelphia, PA 19136-4008
Phone
(267) 975-1466
NPI assigned
Mar 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 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 PC016799 PA Primary

Addresses

Primary practice location

7340 Jackson St
Philadelphia, PA 19136-4008

Mailing address

1050 E Montgomery Ave Apt 204
Philadelphia, PA 19125-3448
Phone (202) 560-7321

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

State licenses

LicenseStateTypeSpecialty
PC016799PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1285485193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E MONTGOMERY AVE APT 204",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253448",
            "telephone_number": "202-560-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 JACKSON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191364008",
            "telephone_number": "267-975-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSEY",
        "first_name": "SUSANNAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016799",
            "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 Mar 28, 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.