NPIMap

Organization Active NPI

Ivy Therapist LLC

  • Mental Health Counselor
  • Upper Darby, PA
National Provider Identifier
1346806601
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
IVY THERAPIST LLC
Practice address
8600 W Chester Pike Ste 108
Upper Darby, PA 19082-2629
Phone
(267) 606-0424
NPI assigned
May 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Sue Ellen Zhang, LPCNPI 1770014631
Title
Owner
Phone
(267) 606-0424

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

8600 W Chester Pike Ste 108
Upper Darby, PA 19082-2629

Mailing address

239 Rock Glen Rd
Wynnewood, PA 19096-3215
Phone (267) 971-7805

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sue@ivytherapist.com Direct

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": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1346806601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 ROCK GLEN RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963215",
            "telephone_number": "267-971-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 W CHESTER PIKE STE 108",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822629",
            "telephone_number": "267-606-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY THERAPIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "SUE ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-606-0424",
        "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": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sue@ivytherapist.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8600 W Chester Pike Ste 108",
            "city": "Upper Darby",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190822629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.