Individual provider Active NPI

Julia Grace Decker, LPC

  • Mental Health Counselor
  • King of Prussia, PA
National Provider Identifier
1790552693
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC016539 Issued in PA
Practice address
120 Valley Green LN Ste 660
King of Prussia, PA 19406-2079
Phone
(888) 227-3898
NPI assigned
Dec 11, 2023
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 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 PC016539 PA Primary

Addresses

Primary practice location

120 Valley Green LN Ste 660
King of Prussia, PA 19406-2079

Mailing address

1943 E Cumberland St
Philadelphia, PA 19125-1301
Phone (203) 300-6467

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
I20240108004725 PA Practitioner - Mental Health Counselor 0345691911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

3855 W Chester Pike
160 MLHC Women's Emotional Wellness
Newtown Square, PA 19073-2304
Phone (484) 337-6310

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC016539PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare CurrentSince Feb 5, 2024 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

120 Valley Green Ln
Ste 510
King of Prussia, PA 19406
Phone (484) 324-7100

120 Valley Green Ln
Ste 660
King of Prussia, PA 19406
Phone (484) 324-7100

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

3855 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-6300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1790552693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 E CUMBERLAND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251301",
            "telephone_number": "203-300-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VALLEY GREEN LN STE 660",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062079",
            "telephone_number": "888-227-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "JULIA",
        "middle_name": "GRACE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC016539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.