Jamal Vann

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

2233-43 West Allegheny Avenue
Philadelphia, PA 19132

Phone

(215) 909-1228

NPI assigned

Apr 14, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Visien Ministries LLC.

  • Developmentally Disabled Services Day Training Agency
  • Philadelphia, PA
  • NPI 1265172902
  NPD Authorized official

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1336593458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AVELLA LN",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811723",
            "telephone_number": "215-909-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233-43 WEST ALLEGHENY AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19132",
            "telephone_number": "215-909-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANN",
        "first_name": "JAMAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Elizabeth Vangorder, DO
• Surya K Vangore, M.D. PC.
• Diana L Vanhouten, CRNP
• Shamin Vania, M.D.
• Vanlandingham Consulting LLC
• Vanna Medical Services, P.a.
• Rachel Joy Vannauker, RD, LDN
• Marisa Vanness, MD
• Richard S Vanni Jr., DMD
• Mildred Vannicola, MS, ATC

• Pastoral Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pastoral Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.