Mary Fung-a-Fat, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC019903 Issued in PA

Practice address

100 S Broad St Ste 1920
Philadelphia, PA 19110-1064

Phone

(267) 838-0066

NPI assigned

Apr 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 9, 2026 through Feb 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• A Better Life Therapy LLC

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1962263111
  NPD

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1710674635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 SW 164TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274480",
            "telephone_number": "754-265-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST STE 1920",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101064",
            "telephone_number": "267-838-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG-A-FAT",
        "first_name": "MARY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC019903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Fumo, M.D.
• Antonio Funches, M.D.
• Functional Physical Therapy LLC.
• Christopher Edward Fundakowski, M.D.
• Gabriela Funez-Depagnier, MD
• Alexandra Mia Fung, LCSW
• France Fung, M.D.
• Henry Fung, M.D.
• Irene Ngar Yee Fung, M.D.
• Michael W Fung, MD

• Mental Health Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.