Active NPI
Justine Rosemary Patel, MA, ATR-BC, LPC
- Counselor
- Allentown, PA
National Provider Identifier
1407369762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PC008715
- Practice address
- 1247 S Cedar Crest Blvd Ste 100
Allentown, PA 18103-6298 - Phone
- (610) 770-1800
- NPI assigned
- Nov 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC008715 | PA | Primary |
Addresses
Primary practice location
1247 S Cedar Crest Blvd Ste 100
Allentown, PA 18103-6298
Mailing address
1120 W Ritner St
Philadelphia, PA 19148-3646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC008715 | PA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blackbird Clinical Services PC | Past | Accepting new patients | |
| Children's Integrated Center for Success | Past | Accepting new patients |
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 and National Provider Directory roles.
-
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- Allentown, PA
- NPI 1598524563
-
- Family Nurse Practitioner
- Allentown, PA
- NPI 1447670708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1407369762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 W RITNER ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1247 S CEDAR CREST BLVD STE 100",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036298",
"telephone_number": "610-770-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JUSTINE",
"middle_name": "ROSEMARY",
"credential": "MA, ATR-BC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC008715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.