Ciara Marie Ivey, MS, LPC, NCC
Individual provider Active NPI Professional Counselor · Philadelphia, PA
NPI 1508501362 · NPPES record last updated May 4, 2022
Key facts
- NPI
- 1508501362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC014277 (PA)
- Practice address
- 9629 Bustleton Ave Apt 201
Philadelphia, PA 19115-3833 - Phone
- (267) 981-3578
- NPI assigned
- May 4, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC014277 | PA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC014277 | PA | Yes |
Addresses
Primary practice location
9629 Bustleton Ave Apt 201
Philadelphia, PA 19115-3833
Mailing address
9629 Bustleton Ave Apt 201
Philadelphia, PA 19115-3833
Phone (267) 981-3578
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All providers in Philadelphia, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.