Individual provider Active NPI

Sherri Abike Razaq-Thiers

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1548052681
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC018327 Issued in PA
Practice address
1544 N 61St St
Philadelphia, PA 19151-4220
Phone
(215) 882-1189
NPI assigned
May 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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 PC018327 PA Primary

Addresses

Primary practice location

1544 N 61St St
Philadelphia, PA 19151-4220

Mailing address

2449 Jenkintown Rd
Glenside, PA 19038-3705
Phone (215) 882-1189

Other practice location 1

2449 Jenkintown Rd
Glenside, PA 19038-3705
Phone (215) 882-1189

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250708000168 PA Practitioner - Mental Health Counselor 3577077114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Philadelphia Health Action IncGroup PAC ID 9537064977, 70 clinicians

Practice addresses (Care Compare)

1999 W Hunting Park Ave
Philadelphia, PA 19140-2828
Phone (215) 228-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC018327PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action, Inc CurrentSince Jul 1, 2025 Accepting new patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Jul 1, 2025 Accepting new patients

Locations

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

1401 S 31st St
Philadelphia, PA 19146
Phone (215) 755-7700

4510 Frankford Ave
Philadelphia, PA 19124
Phone (215) 744-1302

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

1489 Baltimore Pike
Ste 300
Springfield, PA 19064
Phone (484) 472-7430

Interoperability endpoints

  • Direct secure messaging: sherri.razaqthierslpc.p1@direct.gpha.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1548052681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 JENKINTOWN RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190383705",
            "telephone_number": "215-882-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 N 61ST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191514220",
            "telephone_number": "215-882-1189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2449 Jenkintown Rd",
            "address_purpose": "LOCATION",
            "city": "Glenside",
            "state": "PA",
            "postal_code": "190383705",
            "country_code": "US",
            "telephone_number": "215-882-1189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAZAQ-THIERS",
        "first_name": "SHERRI",
        "middle_name": "ABIKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC018327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.