Individual provider Active NPI

Alexandra D'Annunzio Pomponio, MA, LPC

  • Professional Counselor
  • Pottstown, PA
National Provider Identifier
1306172002
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009248 Issued in PA
Practice address
964 Cherry Hill LN
Pottstown, PA 19465-7840
Phone
(610) 517-1863
NPI assigned
Oct 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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 PC009248 PA Primary

Addresses

Primary practice location

964 Cherry Hill LN
Pottstown, PA 19465-7840

Mailing address

964 Cherry Hill LN
Pottstown, PA 19465-7840
Phone (610) 517-1863

Other practice location 1

1041 W Bridge St
Phoenixville, PA 19460-4342
Phone (610) 933-8110 ext. 3577

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 Arts

State licenses

LicenseStateTypeSpecialty
PC009248PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renew You Counseling and Wellness LLC Professional CurrentSince Sep 8, 2024 Accepting new patients

Locations

168 W Ridge Pike
Unit 131
Royersford, PA 19468
Phone (410) 861-0582

17 E Gay St
Ste 205
West Chester, PA 19380
Phone (484) 205-9827

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": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1306172002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 CHERRY HILL LN",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657840",
            "telephone_number": "610-517-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 CHERRY HILL LN",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657840",
            "telephone_number": "610-517-1863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 W Bridge St",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194604342",
            "country_code": "US",
            "telephone_number": "610-933-8110 x3577",
            "fax_number": "610-933-7451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POMPONIO",
        "first_name": "ALEXANDRA",
        "middle_name": "D'ANNUNZIO",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.