Organization Active NPI

Prosper Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
National Provider Identifier
1689297012
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PROSPER COUNSELING LLC
Practice address
1904 South St FL 3
Philadelphia, PA 19146-1434
Phone
(484) 452-3769
NPI assigned
May 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angela Sim-Laramee, LCSW
Title
Owner
Phone
(484) 452-3769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1904 South St FL 3
Philadelphia, PA 19146-1434

Mailing address

1228 S 48TH St
Philadelphia, PA 19143-3846
Phone (267) 257-1020

National Provider Directory

National Provider Directory

Locations

4617 Woodland Ave
Philadelphia, PA 19143
Phone (215) 301-2916

1904 South St
Fl 3
Philadelphia, PA 19146
Phone (215) 990-4390

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1689297012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 S 48TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433846",
            "telephone_number": "267-257-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 SOUTH ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461434",
            "telephone_number": "484-452-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "SIM-LARAMEE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-452-3769",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 16, 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.

Verify at the official NPI Registry.