Individual provider Active NPI

Persefoni Tiliakos Delapp, LPC

  • Professional Counselor
  • Plymouth Meeting, PA
National Provider Identifier
1487962650
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005407 Issued in PA
Practice address
523 Plymouth Rd
Suite 215
Plymouth Meeting, PA 19462-1656
Phone
(610) 825-9400
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005407 PA Primary

Addresses

Primary practice location

523 Plymouth Rd
Suite 215
Plymouth Meeting, PA 19462-1656

Mailing address

1700 Butler Pike
Apt. 14D
Conshohocken, PA 19428-1273
Phone (610) 909-7923

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

State licenses

LicenseStateTypeSpecialty
PC005407PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1487962650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BUTLER PIKE",
            "address_2": "APT. 14D",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281273",
            "telephone_number": "610-909-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 PLYMOUTH RD",
            "address_2": "SUITE 215",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621656",
            "telephone_number": "610-825-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAPP",
        "first_name": "PERSEFONI",
        "middle_name": "TILIAKOS",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.