Individual provider Active NPI

Joshua Vigderman, M.A., LPC

  • Professional Counselor
  • Huntingdon Valley, PA
National Provider Identifier
1639509698
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005647 Issued in PA
Practice address
727 Welsh Rd
Suite 202
Huntingdon Valley, PA 19006-6310
Phone
(215) 914-2119
NPI assigned
Nov 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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 PC005647 PA Primary

Addresses

Primary practice location

727 Welsh Rd
Suite 202
Huntingdon Valley, PA 19006-6310

Mailing address

727 Welsh Rd
Suite 202
Huntingdon Valley, PA 19006-6310
Phone (215) 914-2119

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
PC005647PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Philmont Guidance Center, P.C. PastSince Jan 8, 1998 Accepting new patients
HR Physician Services PastSince Aug 8, 2021 Accepting new patients

Organizations & group practices 2

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": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1639509698",
    "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": "190066310",
            "telephone_number": "215-914-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 WELSH RD",
            "address_2": "SUITE 202",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066310",
            "telephone_number": "215-914-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGDERMAN",
        "first_name": "JOSHUA",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.