Jennifer Rachel Georgiadis, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

16 S Main St
Quakertown, PA 18951-1118

Phone

(215) 538-3403

NPI assigned

Aug 11, 2020

Last updated

Sep 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vital Healthcare SolutionsGroup PAC ID 3274830336, 107 clinicians

Silver Willow Wellness PCGroup PAC ID 5597271577, 118 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Silver Willow Wellness PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Reading, PA
  • NPI 1659164697
  Medicare reassignment Care Compare group NPD
• Vital Healthcare Solutions

  • Psychiatry Physician
  • Sinking Springs, PA
  • NPI 1659736957
  Medicare reassignment Care Compare group NPD
• New Vitae, Inc.

  • Community/Behavioral Health Agency
  • Quakertown, PA
  • NPI 1609923622
  Medicare reassignment NPD

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1497366884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 ESTEN RD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189513755",
            "telephone_number": "267-347-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S MAIN ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511118",
            "telephone_number": "215-538-3403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 St. Joseph's Road",
            "address_purpose": "LOCATION",
            "city": "Limeport",
            "state": "PA",
            "postal_code": "18060",
            "country_code": "US",
            "telephone_number": "215-538-3403 x321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Quakertown",
            "state": "PA",
            "postal_code": "189511701",
            "country_code": "US",
            "telephone_number": "215-538-3403 x321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGIADIS",
        "first_name": "JENNIFER",
        "middle_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "PC016036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melisa P Gaudet, CRNP
• Genesis Healthcare
• Genesis Rehab Services
• George a Zeo, Psy.D.
• Dawn W George
• Kathryn D Getz, CRNP
• Brett William Gibson, MD
• Kimberly Ann Gilles, LCSW
• Stacy Lynn Gilligan
• April Gilmore, OTA

• Mental Health Counselor in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.