Pimtong Udomkijkosol

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC001864 Issued in PA

Practice address

12 N Preston St
Philadelphia, PA 19104-2211

Phone

(215) 895-5512

NPI assigned

Mar 30, 2026

Last updated

Mar 30, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1538009659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S 40TH ST APT 4R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N PRESTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042211",
            "telephone_number": "215-895-5512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 S 11th St # 303",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074223",
            "country_code": "US",
            "telephone_number": "501-295-3728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDOMKIJKOSOL",
        "first_name": "PIMTONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "APC001864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Udell, MD
• Marie-Claude Udell
• Chinedum Udenze-Utah, M.D.
• David S Udis, M.D.
• Mary Udo-Akang
• Alex Ufberg, P.T.
• Jacob Wilt Ufberg, MD
• Paul Jacob Ufberg, DO, MBA
• Neil Uffner, DMD
• Marija Ugrinich, DPM

• 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 Mar 30, 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.