Active NPI
Camellia Heart
- Mental Health Counselor
- Philadelphia, PA
National Provider Identifier
1790433571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW137339
- Practice address
- 239 Montrose St
Philadelphia, PA 19147-4226 - Phone
- (678) 200-6327
- NPI assigned
- Mar 11, 2022
- Sex
- Female
- Sole proprietor
- No
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 | SW137339 | PA | Primary |
Addresses
Primary practice location
239 Montrose St
Philadelphia, PA 19147-4226
Mailing address
239 Montrose St
Philadelphia, PA 19147-4226
Phone (678) 200-6327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW137339 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1790433571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 MONTROSE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191474226",
"telephone_number": "678-200-6327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 MONTROSE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191474226",
"telephone_number": "678-200-6327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEART",
"first_name": "CAMELLIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-11",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "SW137339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
- Heart to Heart Home Health Care Agency LLC (Heart To Heart Home Care)
- Heart to Heart Medical Equipment LLC
- Heart to Home Transportation
- Heart to Home Transportation
- Heart Warming Caregivers LLC
- Heart2Heart@ Home Care Agency
- Heartfelt Hands Home Care Services
- Heartfelt Home Care LLC
- Heartfelt Interventions LLC
- Hearth Home Care Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.