Organization Active NPI

Village Therapy Practice, LLC

  • Professional Counselor
  • Horsham, PA
National Provider Identifier
1619537354
Registry record updated Jun 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
VILLAGE THERAPY PRACTICE, LLC
Practice address
2 Village Rd Ste 2
Horsham, PA 19044-3816
Phone
(215) 582-9086
NPI assigned
Jun 15, 2019
Last updated
Jun 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2019

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

Authorized official

Name
Jill Palme, LPC, NCC, MEDNPI 1316306400
Title
Administrator
Phone
(215) 582-9086

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

2 Village Rd Ste 2
Horsham, PA 19044-3816

Mailing address

2 Village Rd Ste 2
Horsham, PA 19044-3816

Other identifiers 2

IdentifierTypeStateIssuer
1316306400OtherPAPSYCHOTHERAPY
1275197097OtherPAPSYCHOTHERAPY

National Provider Directory

National Provider Directory

Locations

2 Village Rd
Ste 2
Horsham, PA 19044
Phone (215) 287-0655

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1560556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560556800000",
    "number": "1619537354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VILLAGE RD STE 2",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190443816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 VILLAGE RD STE 2",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190443816",
            "telephone_number": "215-582-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE THERAPY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-15",
        "last_updated": "2019-06-15",
        "status": "A",
        "authorized_official_last_name": "PALME",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-582-9086",
        "authorized_official_credential": "LPC, NCC, MED"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOTHERAPY",
            "identifier": "1316306400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOTHERAPY",
            "identifier": "1275197097",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Horsham, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2019; 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.