Active NPI
Elliot Elbaum
- Professional Counselor
- Conshohocken, PA
National Provider Identifier
1720919426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC020446
- Practice address
- 1101 E Hector St Unit 401
Conshohocken, PA 19428-2452 - Phone
- (610) 416-4324
- NPI assigned
- May 29, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | PC020446 | PA | Primary |
Addresses
Primary practice location
1101 E Hector St Unit 401
Conshohocken, PA 19428-2452
Mailing address
1101 E Hector St Unit 401
Conshohocken, PA 19428-2452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
261 Old York Rd
Jenkintown, PA 19046-3772
261 Old York Rd
Suite 318
Jenkintown, PA 19046-3709
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC020446 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1720919426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 E HECTOR ST UNIT 401",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 E HECTOR ST UNIT 401",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282452",
"telephone_number": "610-416-4324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELBAUM",
"first_name": "ELLIOT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-29",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC020446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conshohocken, PA
- William Neal Duffy, MD
- Fernando Duran
- Dynamic Speech Pathology Services
- East Norriton Physicians Services (Colonial Medical Associates)
- East Norriton Physicians Services (Mercy Medical Associates of Conshohocken)
- Kelsey Eldredge, DPT
- Rawaa Elkhalifa
- Embellish Beauty Concepts, LLC.
- Ember Dental Arts
- Embrace Now Psychotherapy and Wellness, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.