Active NPI
Solacium Holding, LLC
- Community/Behavioral Health Agency
- Berwyn, PA
National Provider Identifier
1609576230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SOLACIUM HOLDING, LLC
- Practice address
- 1031 Old Cassatt Rd
Berwyn, PA 19312-1152 - Phone
- (480) 550-9281
- NPI assigned
- Mar 2, 2023
- Last updated
- Jun 5, 2025
- Organization subpart
- Yes
- Parent organization
- SOLACIUM HOLDING, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharnell Spencer
- Title
- Credentialing Manager
- Phone
- (661) 239-6923
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
1031 Old Cassatt Rd
Berwyn, PA 19312-1152
Mailing address
5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Phone (661) 622-4132
Other names 1
- Embark Virtual at Pennsylvania
National Provider Directory
National Provider Directory- Tax ID family
- Solacium Holding LLC
- Part of
- Solacium Holding LLC
Other organizations with this tax ID 12
Organizations that report the same tax identification number in the National Provider Directory.
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- Mental Health Clinic/Center (Including Community Mental Health Center)
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-
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-
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-
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Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Berwyn, PA
- NPI 1518136514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749081600000",
"number": "1609576230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MING AVE STE 410",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933094631",
"telephone_number": "661-622-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 OLD CASSATT RD",
"city": "BERWYN",
"state": "PA",
"postal_code": "193121152",
"telephone_number": "480-550-9281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLACIUM HOLDING, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOLACIUM HOLDING, LLC",
"enumeration_date": "2023-03-02",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A",
"authorized_official_last_name": "SPENCER",
"authorized_official_first_name": "SHARNELL",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "661-239-6923"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Embark Virtual at Pennsylvania",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Embark Virtual at Pennsylvania",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Berwyn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.