Organization Active NPI

Perennial Integrative Therapy PLLC

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1295605491
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PERENNIAL INTEGRATIVE THERAPY PLLC
Practice address
881 Wynnewood Rd # U1
Philadelphia, PA 19151-3452
Phone
(215) 459-9217
NPI assigned
Nov 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Ayanna Gellineau, LPCNPI 1952120149
Title
Owner, Clinical Director
Phone
(215) 459-9217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

881 Wynnewood Rd # U1
Philadelphia, PA 19151-3452

Mailing address

881 Wynnewood Rd # U1
Philadelphia, PA 19151-3452
Phone (215) 459-9217

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1295605491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 WYNNEWOOD RD # U1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513452",
            "telephone_number": "215-459-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 WYNNEWOOD RD # U1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513452",
            "telephone_number": "215-459-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERENNIAL INTEGRATIVE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "GELLINEAU",
        "authorized_official_first_name": "AYANNA",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "215-459-9217",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "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 Nov 21, 2025; 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.