Active NPI
Andrew Hartnett, MS LPC
- Mental Health Counselor
- Philadelphia, PA
National Provider Identifier
1790244994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC014412
- Practice address
- 1300 South Columbus Blvd. #1187
Ste. 1
Philadelphia, PA 19147 - Phone
- (267) 702-6441
- NPI assigned
- Mar 18, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC014412 | PA | Primary |
Addresses
Primary practice location
1300 South Columbus Blvd. #1187
Ste. 1
Philadelphia, PA 19147
Mailing address
511 Moore St
Philadelphia, PA 19148-1828
Phone (267) 702-6441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC014412 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Health Management Corporation | Current | Accepting new patients | |
| Public Health Management Corporation | Current | Accepting new patients | |
| Public Health Management Corporation | Current | Accepting new patients |
Locations
216 W Somerset St
Philadelphia, PA 19133
Phone (215) 763-8870
501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046
5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1881779866
-
- Federally Qualified Health Center (FQHC)
- Phila, PA
- NPI 1306285176
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1467776989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1790244994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 MOORE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191481828",
"telephone_number": "267-702-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 SOUTH COLUMBUS BLVD. #1187",
"address_2": "STE. 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19147",
"telephone_number": "267-702-6441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTNETT",
"first_name": "ANDREW",
"credential": "MS LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-18",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC014412",
"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 Apr 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.