Individual provider Active NPI

Andrew Hartnett, MS LPC

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1790244994
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC014412 Issued in PA
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

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011003316 PA Practitioner - Mental Health Counselor 0840722112 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC014412PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation CurrentSince Oct 14, 2024 Accepting new patients
Public Health Management Corporation CurrentSince Oct 14, 2024 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.

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

Verify at the official NPI Registry.