Individual provider Active NPI

Jonathan A. Lewis, MHS, LPC, CAC, CCS

  • Professional Counselor
  • Ardmore, PA
National Provider Identifier
1316154768
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC000948 Issued in PA
Practice address
85 E Spring Ave
Ardmore, PA 19003-2143
Phone
(610) 316-2887
Fax
(215) 438-4159
NPI assigned
May 16, 2007
Last updated
Mar 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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 PC000948 PA Primary

Addresses

Primary practice location

85 E Spring Ave
Ardmore, PA 19003-2143

Mailing address

PO Box 264
Norristown, PA 19404-0264
Phone (610) 316-2887

Other identifiers 1

IdentifierTypeStateIssuer
1316154768MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305002842 PA Practitioner - Mental Health Counselor 2769898329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

22 S 40TH St
Suite 201B
Philadelphia, PA 19104-5827
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC000948PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 10, 2024 Accepting new patients

Locations

22 S 40th St
Ste 201B
Philadelphia, PA 19104
Phone (267) 440-7066

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 561-9950

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1316154768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194040264",
            "telephone_number": "610-316-2887",
            "fax_number": "215-438-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E SPRING AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032143",
            "telephone_number": "610-316-2887",
            "fax_number": "215-438-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JONATHAN",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MHS, LPC, CAC, CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC000948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316154768",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

Verify at the official NPI Registry.