Active NPI
Rachel Haimovich
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1306363320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC009627
- Practice address
- 1420 Walnut St Ste 500
Philadelphia, PA 19102-4004 - Phone
- (610) 644-6464
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC009627 | PA | Primary |
Addresses
Primary practice location
1420 Walnut St Ste 500
Philadelphia, PA 19102-4004
Mailing address
680 American Ave Ste 302
King of Prussia, PA 19406-4023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC009627 | Other | PA | PROFESSIONAL COUNSELOR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC009627 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504051200000",
"number": "1306363320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 AMERICAN AVE STE 302",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194064023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 WALNUT ST STE 500",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024004",
"telephone_number": "610-644-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIMOVICH",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2017-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC009627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL COUNSELOR",
"identifier": "PC009627",
"state": "PA"
}
],
"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 Aug 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.