NPIMap

Organization Active NPI

Neutral Ground Healing Collective, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
National Provider Identifier
1437959376
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEUTRAL GROUND HEALING COLLECTIVE, LLC
Practice address
500 N 13TH St
Philadelphia, PA 19123-3955
Phone
(267) 636-6008
NPI assigned
Mar 18, 2025
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Kelly Jude, LCSWNPI 1821392747
Title
Member
Phone
(267) 291-4385

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Clinical Psychologist 103TC0700X
Social Worker 104100000X
Clinical Social Worker 1041C0700X
Psychiatric/Mental Health Registered Nurse 163WP0808X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X

Addresses

Primary practice location

500 N 13TH St
Philadelphia, PA 19123-3955

Mailing address

32 W Allens LN
Philadelphia, PA 19119-1637
Phone (267) 574-6061

Other names 2

  • NEUTRAL GROUND HEALING COLLECTIVE LLC Other name
  • NEUTRAL GROUND INCLUSIVE HEALING Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250919002569 PA Part B Supplier - Clinic/Group Practice 7012418783 Receives reassigned benefits from 14 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1437959376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 W ALLENS LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191637",
            "telephone_number": "267-574-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N 13TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233955",
            "telephone_number": "267-636-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUTRAL GROUND HEALING COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "JUDE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "267-291-4385",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEUTRAL GROUND HEALING COLLECTIVE LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NEUTRAL GROUND HEALING COLLECTIVE LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NEUTRAL GROUND INCLUSIVE HEALING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.