Individual provider Active NPI

Xiaowei Li, M. PHIL.ED

  • Professional Counselor
  • Wayne, PA
National Provider Identifier
1720722978
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC01031200 Issued in NJ
Practice address
115 Bloomingdale Ave
Wayne, PA 19087-4030
Phone
(484) 887-8385
NPI assigned
Apr 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X PC016319 PA
Professional Counselor 101YP2500X 37PC01031200 NJ Primary

Addresses

Primary practice location

115 Bloomingdale Ave
Wayne, PA 19087-4030

Mailing address

115 Bloomingdale Ave
Wayne, PA 19087-4030
Phone (484) 887-8385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240720000190 NJ Practitioner - Mental Health Counselor 5294271706 Reassigns benefits to 1 organization
I20250625000516 PA Practitioner - Mental Health Counselor 5294271706 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC016319PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health - Behavioral Health CurrentSince Jul 1, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Jun 10, 2025 Accepting new patients
Rutgers Health - Behavioral Health CurrentSince Jul 1, 2024 Accepting new patients
Growth Minded Professional Past Accepting new patients
Growth Minded Mental Health PastSince May 1, 2022 Accepting new patients

Locations

57 Haddonfield Rd
Ste 120
Cherry Hill, NJ 08002
Phone (856) 566-6200

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

671 Hoes Ln W
Rm C205
Piscataway, NJ 08854
Phone (732) 235-4040

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1720722978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BLOOMINGDALE AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874030",
            "telephone_number": "484-887-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BLOOMINGDALE AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874030",
            "telephone_number": "484-887-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "XIAOWEI",
        "credential": "M. PHIL.ED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-25",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016319",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01031200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.