Therapy Based LTD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THERAPY BASED LTD

Practice address

4049 Haverford Ave FL 2
Philadelphia, PA 19104-1745

Phone

(215) 839-6867

NPI assigned

Aug 31, 2023

Last updated

Jun 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle Marcus Gilliam, LPC, NCCNPI 1831871094

Title

Licensed Professional Counselor

Phone

(215) 839-6867

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Marcus Gilliam, LPC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1831871094
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1417733916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4049 HAVERFORD AVE FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041745",
            "telephone_number": "215-839-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 HAVERFORD AVE FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041745",
            "telephone_number": "215-839-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY BASED LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "215-839-6867",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapivity
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• Therapuetic Center at Fox Chase Aka the Bridge
• Therapy 4 Abundant Life
• Therapy and Consultation Services
• Therapy Center of Philadelphia
• Therapy Concierge, LLC
• Therapy for Success
• Therapy Link LLC
• Therapy Solutions Children's Services

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.