Kelsey Irving, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC011637 Issued in PA

Practice address

8870 Towanda St
Philadelphia, PA 19118-3628

Phone

(201) 675-9456

NPI assigned

Sep 12, 2017

Last updated

Sep 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kelsey Redden Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1720507692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8870 TOWANDA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183628",
            "telephone_number": "201-675-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 TOWANDA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183628",
            "telephone_number": "201-675-9456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Pinetown Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "PA",
            "postal_code": "190342612",
            "country_code": "US",
            "telephone_number": "215-638-5200 x1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRVING",
        "first_name": "KELSEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194889782",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kelseyirving29@gmail.com",
            "affiliation": "N",
            "address_1": "8870 Towanda St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191183628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "REDDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Irvin, PSY.D
• Irving I Criden & Scott Page OD PC
• Irving W. Jacobson DMD PC
• Alyssa Smith Irving, OTR/L
• Brett Kenneth Irving, MD
• Richard Lewis Irving III, MHS, PA-C
• Sharon Y Irving, CRNP
• David J Irwin, MD
• Hannah M Irwin, MS
• John Irwin, D.P.M.

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.