Individual provider Active NPI

Marcy Shoemaker, LPC

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1619919768
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016629 Issued in PA
Practice address
8815 Germantown Ave
Suite 31
Philadelphia, PA 19118-2722
Phone
(215) 242-8155
Fax
(215) 242-8159
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC003619 PA
Clinical Psychologist 103TC0700X PS016629 PA Primary

Addresses

Primary practice location

8815 Germantown Ave
Suite 31
Philadelphia, PA 19118-2722

Mailing address

727 Welsh Rd
Suite 202
Huntingdon Valley, PA 19006-6357
Phone (215) 914-2119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090630000205 PA Practitioner - Clinical Psychologist 1850442070 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

22 S 40TH St
Suite 201B
Philadelphia, PA 19104-5827
Phone (855) 284-7483

925 Roscommon Rd
Bryn Mawr, PA 19010-1842
Phone (215) 313-0057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC003619PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Psychological PC Mental Health CurrentSince Jul 16, 2020 Accepting new patients
Thrive Counseling LLC Mental Health CurrentSince Feb 10, 2025 Accepting new patients
Che Senior Care Therapy Services PC Clinical CurrentSince Jun 17, 2020 Accepting new patients
Evergreen Counseling and Psychological Associates LLC Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Dec 20, 2024 Accepting new patients
HR Physician Services PastSince Aug 8, 2021 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

22 S 40th St
Ste 201B
Philadelphia, PA 19104
Phone (267) 440-7066

8705 Germantown Ave
Ste 3
Philadelphia, PA 19118
Phone (215) 247-5400

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

208 Fernbrook Ave
Wyncote, PA 19095
Phone (610) 668-8553

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1619919768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 WELSH RD",
            "address_2": "SUITE 202",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066357",
            "telephone_number": "215-914-2119",
            "fax_number": "215-914-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 GERMANTOWN AVE",
            "address_2": "SUITE 31",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182722",
            "telephone_number": "215-242-8155",
            "fax_number": "215-242-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "MARCY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC003619",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.