Active NPI
Lavenia Fain
- Psychiatric/Mental Health Nurse Practitioner
- Bala Cynwyd, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP025249
- Practice address
- 333 E City Ave
Suite 300 PMB #2068
Bala Cynwyd, PA 19004 - Phone
- (267) 281-4884
- NPI assigned
- Mar 20, 2014
- Last updated
- Oct 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP025249 | PA | Primary |
| Family Nurse Practitioner | 363LF0000X | SP013612 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP95025323 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | L8-0010842 | DE | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01462700 | NJ |
Addresses
Primary practice location
333 E City Ave
Suite 300 PMB #2068
Bala Cynwyd, PA 19004
Mailing address
333 E City Ave
Suite 300 PMB #2068
Bala Cynwyd, PA 19004
Phone (267) 281-4884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ, CA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
161 Cecil B Moore Ave
Apt 204
Philadelphia, PA 19122-3243
Phone (215) 585-2144
230 US Hwy 206
Suite 4
Flanders, NJ 07836-9287
Phone (215) 585-2144
4700 Wissahickon Ave
Suite 118
Philadelphia, PA 19144-4248
Phone (267) 597-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP013612 | PA | MD | Family Nurse Practitioner |
| NP95025323 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| SP025249 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice & Counseling Services Network, Inc. | Current | Accepting new patients | |
| Ophelia Medical Group NJ PC | Current | Accepting new patients | |
| Family Practice & Counseling Services Network, Inc. | Current | Accepting new patients | |
| Ophelia Medical Group, P.C. | Current | Accepting new patients | |
| Public Health Management Corporation | Current | Accepting new patients | |
| Loving Minds Mental Healing | Family | Current | Accepting new patients |
| Resources for Human Development, Inc. | Current | Accepting new patients | |
| Ophelia Medical Group FL, P.a. | Current | Accepting new patients | |
| Family Practice & Counseling Services Network, Inc. | Current | Accepting new patients | |
| Ophelia Medical Group Ca PC | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Public Health Management Corporation | Current | Accepting new patients | |
| Public Health Mangement Corporation | Current | Accepting new patients | |
| Resources for Human Development, Inc. | Past | Accepting new patients |
Locations
6920 Miramar Rd
Ste 329
San Diego, CA 92121
1000 N West St
Ste 1200
Wilmington, DE 19801
Phone (302) 449-6471
230 US Highway 206
Ste 4
Flanders, NJ 07836
228 Park Ave S
New York, NY 10003
Phone (215) 588-2144
333 E City Ave
Ste 300
Bala Cynwyd, PA 19004
Phone (610) 660-7739
125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500
1650 Market St
Philadelphia, PA 19103
Phone (240) 797-6869
2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172
4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720
4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771
4700 Wissahickon Ave
Ste 119
Philadelphia, PA 19144
Phone (215) 843-9720
5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440
850 N 11th St
Philadelphia, PA 19123
Phone (215) 685-2684
Interoperability endpoints
- laveniafain@nncc.allscriptsdirect.net
Organizations & group practices 14
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1043204811
-
- Addiction Medicine (Family Medicine) Physician
- Philadelphia, PA
- NPI 1588244750
-
- Psychiatry Physician
- Flanders, NJ
- NPI 1346906179
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1881779866
-
dba LMCMS Peer Support
- Community/Behavioral Health Agency
- Bryn Mawr, PA
- NPI 1548395585
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
DE, PA
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- San Diego, CA
- NPI 1760153381
-
- Psychiatric/Mental Health Nurse Practitioner
- Bala Cynwyd, PA
- NPI 1487592309
Family
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1356335129
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1689357782
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Philadelphia, PA
- NPI 1376179150
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1467776989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791849600000",
"number": "1649697202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E CITY AVE",
"address_2": "SUITE 300 PMB #2068",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "19004",
"telephone_number": "267-281-4884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E CITY AVE",
"address_2": "SUITE 300 PMB #2068",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "19004",
"telephone_number": "267-281-4884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIN",
"first_name": "LAVENIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-20",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP025249",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP013612",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "NP95025323",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DE",
"license": "L8-0010842",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ01462700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.