Organization Active NPI

Francis Iacobucci Counseling

  • Adult Mental Health Clinic/Center
  • Havertown, PA
National Provider Identifier
1619620507
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
FRANCIS IACOBUCCI COUNSELING
Practice address
4 Raymond Dr Ste F
Havertown, PA 19083-3188
Phone
(484) 437-1163
NPI assigned
Jan 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Mr. Francis Reginald Iacobucci III, LCSWNPI 1487212916
Title
Founder and Ceo
Phone
(484) 437-1163

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
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

4 Raymond Dr Ste F
Havertown, PA 19083-3188

Mailing address

715 20TH Ave E
Seattle, WA 98112-4015
Phone (484) 437-1163

National Provider Directory

National Provider Directory

Locations

4 Raymond Dr
Ste F
Havertown, PA 19083
Phone (484) 437-1163

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": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1619620507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 20TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124015",
            "telephone_number": "484-437-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RAYMOND DR STE F",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833188",
            "telephone_number": "484-437-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCIS IACOBUCCI COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "IACOBUCCI",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "REGINALD",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "484-437-1163",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.