Individual provider Active NPI

Jessica Philippi

  • Professional Counselor
  • Mansfield, PA
National Provider Identifier
1629937149
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC019897 Issued in PA
Practice address
63 Third Street
Mansfield, PA 16933
Phone
(570) 662-7600
Fax
(570) 662-7726
NPI assigned
Jan 20, 2026
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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 PC019897 PA Primary

Addresses

Primary practice location

63 Third Street
Mansfield, PA 16933

Mailing address

24 College Ave
Mansfield, PA 16933-1111
Phone (607) 331-9182

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
I20260313000009 PA Practitioner - Mental Health Counselor 9032692462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 W Main St
Fleetwood, PA 19522-1323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC019897PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Concern-Professional Services for Children, Youth & Families CurrentSince Jan 16, 2026 Accepting new patients
Concern-Professional Services for Children, Youth & Families CurrentSince Jan 16, 2026 Accepting new patients

Locations

63 3rd St
Ste 103
Mansfield, PA 16933
Phone (570) 622-7600

62 Plaza Ln
Wellsboro, PA 16901
Phone (570) 724-7142

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1629937149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COLLEGE AVE",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331111",
            "telephone_number": "607-331-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 THIRD STREET",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "16933",
            "telephone_number": "570-662-7600",
            "fax_number": "570-662-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPPI",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC019897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, PA

Sources for this page

Verify at the official NPI Registry.