Eliot Max Klein, LPC, MT-BC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC016753 Issued in PA

Practice address

3580 Indian Queen LN
Philadelphia, PA 19129-1540

Phone

(215) 398-4313

NPI assigned

Feb 19, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Voyage Healing PC

  • Psychiatry Physician
  • Bala Cynwyd, PA
  • NPI 1457922965
  NPD

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1598520512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N 64TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513301",
            "telephone_number": "732-673-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 INDIAN QUEEN LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291540",
            "telephone_number": "215-398-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ELIOT",
        "middle_name": "MAX",
        "credential": "LPC, MT-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "PA",
            "license": "15285",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Kleckner, MD
• Agnieszka A Kleczek, PH.D
• Amy Klein-Zimmerman, MD
• Alyssa Klein, MD, PHD
• Amelia Rocco Klein, DSW, LCSW, LMFT,BCD
• Gavriella Klein, MSED, BCBA, LBS
• Howard S Klein, MD
• Jill Klein, MD
• Katherine Peachee Klein, MD
• Katherine Z Klein, MS, LSW

• 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 Feb 19, 2024; 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.