Individual provider Active NPI

Priya M Roychoudhury, MA, BC-DMT, LPC

  • Counselor
  • Philadelphia, PA
National Provider Identifier
1396603213
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC019072 Issued in PA
Practice address
1233 Locust St
Philadelphia, PA 19107-5453
Phone
(215) 790-1788
NPI assigned
Jan 10, 2026
Last updated
Jan 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC019072 PA Primary

Addresses

Primary practice location

1233 Locust St
Philadelphia, PA 19107-5453

Mailing address

2201 Pennsylvania Ave Apt 613
Philadelphia, PA 19130-3524

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
I20260224002039 PA Practitioner - Mental Health Counselor 3678054046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1233 Locust St
FL 3
Philadelphia, PA 19107-5459

PO Box
Suite 5478
Pawtucket, RI 02862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC019072PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia Fight CurrentSince Feb 23, 2026 Accepting new patients
Philadelphia Fight PastSince Feb 23, 2026 Accepting new patients

Locations

1211 Chestnut St
Ste 605
Philadelphia, PA 19107
Phone (215) 525-8657

1233 Locust St
Fl 3
Philadelphia, PA 19107
Phone (267) 725-0252

1233 Locust St
Ste 500
Philadelphia, PA 19107
Phone (215) 790-1788

Organizations & group practices 2

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": "1768003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1396603213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 PENNSYLVANIA AVE APT 613",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075453",
            "telephone_number": "215-790-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYCHOUDHURY",
        "first_name": "PRIYA",
        "middle_name": "M",
        "credential": "MA, BC-DMT, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-10",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC019072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.