Individual provider Active NPI

Yevgeniya Ventura, M.ED., MA

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1417448515
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
313 S 16TH St
Philadelphia, PA 19102-4908
Phone
(267) 702-0258
NPI assigned
May 24, 2018
Last updated
May 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

313 S 16TH St
Philadelphia, PA 19102-4908

Mailing address

1701 Grant Ave
Philadelphia, PA 19115-3160

Other practice location 1

1701 Grant Ave
Philadelphia, PA 19115-3160
Phone (267) 702-0258

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, Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Yeva Ventura, LPC Mental Health CurrentSince Jul 2, 2023 Accepting new patients

Locations

313 S 16th St
Philadelphia, PA 19102
Phone (215) 732-8244

Organizations & group practices 1

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1417448515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S 16TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024908",
            "telephone_number": "267-702-0258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191153160",
            "country_code": "US",
            "telephone_number": "267-702-0258",
            "fax_number": "215-464-3899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENTURA",
        "first_name": "YEVGENIYA",
        "name_prefix": "Ms.",
        "credential": "M.ED., MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 24, 2018; 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.