Jessica Philippi
Individual provider Active NPI Professional Counselor · Mansfield, PA
NPI 1629937149 · NPPES record last updated Jan 20, 2026
Key facts
- NPI
- 1629937149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC019897 (PA)
- Practice address
- 63 Third Street
Mansfield, PA 16933 - Phone
- (570) 662-7600
- Fax
- (570) 662-7726
- NPI assigned
- Jan 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260313000009 | PA | Practitioner - Mental Health Counselor | 9032692462 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC019897 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concern-Professional Services for Children, Youth & Families | Current |
Accepting new patients | |
| Concern-Professional Services for Children, Youth & Families | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC019897 | PA | Yes |
Addresses
Primary practice location
63 Third Street
Mansfield, PA 16933
Mailing address
24 College Ave
Mansfield, PA 16933-1111
Phone (607) 331-9182
Other providers in Mansfield, PA
- Brian James Oakes
- Oakhill Chiropractic Healing Center
- Rebecca Parks
- Pennsylvania CVS Pharmacy, L.L.C.
- Lori Lee Perry
- Phoenix Rehabilitation and Health Services, Inc.
- Sarah Pierce
- Kasey Danielle Powlison
- R M Stager DMD & J R Coole DMD Stager & Coole Dentistry
- Brit Reed
All providers in Mansfield, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.