Active NPI
Timothy Sosin, LPC
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1689227738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC011510
- Practice address
- 1500 Walnut St Ste 603
Philadelphia, PA 19102-3516 - Phone
- (215) 258-8080
- NPI assigned
- Jul 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC011510 | PA | Primary |
Addresses
Primary practice location
1500 Walnut St Ste 603
Philadelphia, PA 19102-3516
Mailing address
1943 N Howard St
Philadelphia, PA 19122-2411
Phone (434) 509-3397
Other names 1
- Timothy Sosin
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC011510 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birthstone Trauma Healing, LLC | Professional | Current | Accepting new patients |
| Thrive Counseling LLC | Past | Accepting new patients |
Locations
1500 Walnut St
Ste 603
Philadelphia, PA 19102
Phone (267) 754-8400
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.
-
- Professional Counselor
- Philadelphia, PA
- NPI 1932793627
-
- Mental Health Counselor
- Lynchburg, VA
- NPI 1215181300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1689227738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1943 N HOWARD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191222411",
"telephone_number": "434-509-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 WALNUT ST STE 603",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023516",
"telephone_number": "215-258-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSIN",
"first_name": "TIMOTHY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-18",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC011510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIMOTHY",
"last_name": "SOSIN",
"credential": "LPC, NCC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.