Organization Active NPI

Courageous Resilience Therapy

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1366309528
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
COURAGEOUS RESILIENCE THERAPY
Practice address
1518 Walnut St Ste 1414
Philadelphia, PA 19102-3408
Phone
(215) 983-7213
NPI assigned
Jan 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Carly Dee Geis, MDIV, MS, LPCNPI 1770366247
Title
Licensed Therapist
Phone
(901) 499-6823

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1518 Walnut St Ste 1414
Philadelphia, PA 19102-3408

Mailing address

7949 Ridge Ave Apt B6
Philadelphia, PA 19128-3014
Phone (215) 983-7213

National Provider Directory

National Provider Directory

Locations

1518 Walnut St
Ste 1414
Philadelphia, PA 19102
Phone (215) 983-7213

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": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1366309528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7949 RIDGE AVE APT B6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283014",
            "telephone_number": "215-983-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST STE 1414",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023408",
            "telephone_number": "215-983-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS RESILIENCE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "GEIS",
        "authorized_official_first_name": "CARLY",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "LICENSED THERAPIST",
        "authorized_official_telephone_number": "901-499-6823",
        "authorized_official_credential": "MDIV, MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 8, 2026; 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.