Individual provider Active NPI

Brandi Jo Mauriello, MA

  • Professional Counselor
  • West Chester, PA
National Provider Identifier
1629608500
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012104 Issued in PA
Practice address
139 W Market St Ste D
West Chester, PA 19382-2912
Phone
(717) 360-6267
Fax
(888) 976-5828
NPI assigned
Jan 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC012104 PA Primary

Addresses

Primary practice location

139 W Market St Ste D
West Chester, PA 19382-2912

Mailing address

102 Hawthorne CT
Collegeville, PA 19426-3918
Phone (717) 360-6267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC012104PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew J. Mauriello, Ma, P.C. Professional CurrentSince Jan 26, 2020 Accepting new patients

Locations

139 W Market St
Ste D
West Chester, PA 19382
Phone (717) 360-6267

Organizations & group practices 1

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": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1629608500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HAWTHORNE CT",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263918",
            "telephone_number": "717-360-6267",
            "fax_number": "888-976-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W MARKET ST STE D",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193822912",
            "telephone_number": "717-360-6267",
            "fax_number": "888-976-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURIELLO",
        "first_name": "BRANDI",
        "middle_name": "JO",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.