Individual provider Active NPI

Brianna Denise Thero, LPC

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1679978936
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC007054 Issued in PA
Practice address
5501 Woodland Ave
Philadelphia, PA 19143-5607
Phone
(215) 724-4700
Fax
(215) 724-3111
NPI assigned
Oct 29, 2014
Last updated
Oct 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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 PC007054 PA Primary

Addresses

Primary practice location

5501 Woodland Ave
Philadelphia, PA 19143-5607

Mailing address

432 N 6TH St
Philadelphia, PA 19123-4004
Phone (215) 925-2400

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
I20250625000355 PA Practitioner - Mental Health Counselor 8729590856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC007054PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Apr 10, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Apr 10, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Current Accepting new patients
Psychological Healthcare, PLLC Professional Past Accepting new patients

Locations

156 S Bethlehem Pike
Ambler, PA 19002
Phone (215) 767-7096

7 Neshaminy Interplex Dr
Trevose, PA 19053

Interoperability endpoints

  • Direct secure messaging: brianna.thero.1@28623.direct.athenahealth.com
  • Direct secure messaging: dcp.briannathero@141748.advancedmd-direct.com

Organizations & group practices 4

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": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1679978936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 N 6TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191234004",
            "telephone_number": "215-925-2400",
            "fax_number": "215-925-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191435607",
            "telephone_number": "215-724-4700",
            "fax_number": "215-724-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERO",
        "first_name": "BRIANNA",
        "middle_name": "DENISE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.