Organization Active NPI

Ishualdaviscounseling

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1568340974
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ISHUALDAVISCOUNSELING
Practice address
7244 Castor Ave # 1114
Philadelphia, PA 19149-1109
Phone
(215) 402-7103
NPI assigned
Aug 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Ms. Ishual Charron Davis, LPCNPI 1508236076
Title
Owner
Phone
(215) 402-7103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

7244 Castor Ave # 1114
Philadelphia, PA 19149-1109

Mailing address

7244 Castor Ave # 1114
Philadelphia, PA 19149-1109
Phone (215) 402-7103

Other names 1

  • Jewelsofwisdomcounseling Doing business as

National Provider Directory

National Provider Directory

Locations

7244 Castor Ave
#1114
Philadelphia, PA 19149
Phone (215) 402-7103

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1568340974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7244 CASTOR AVE # 1114",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491109",
            "telephone_number": "215-402-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7244 CASTOR AVE # 1114",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491109",
            "telephone_number": "215-402-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISHUALDAVISCOUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ISHUAL",
        "authorized_official_middle_name": "CHARRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-402-7103",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jewelsofwisdomcounseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.