NPIMap

Organization Active NPI

Moment Counseling Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jenkintown, PA
National Provider Identifier
1619733284
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MOMENT COUNSELING CENTER LLC
Practice address
505 Old York Rd
Ste 110
Jenkintown, PA 19046
Phone
(215) 315-7964
NPI assigned
Feb 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Derek Rose, MSNPI 1639935299
Title
Owner & Therapist
Phone
(215) 315-7964

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

505 Old York Rd
Ste 110
Jenkintown, PA 19046

Mailing address

505 Old York Rd
Ste 110
Jenkintown, PA 19046

National Provider Directory

National Provider Directory

Locations

505 York Rd
Ste 110
Jenkintown, PA 19046
Phone (215) 315-7964

Practitioners & affiliated clinicians

Practitioners 5

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": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1619733284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 OLD YORK RD",
            "address_2": "STE 110",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "19046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 OLD YORK RD",
            "address_2": "STE 110",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "19046",
            "telephone_number": "215-315-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENT COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER & THERAPIST",
        "authorized_official_telephone_number": "215-315-7964",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.