Ronell Capree Adams

Individual provider Active NPI Mental Health Counselor · Philadelphia, PA

NPI 1790653202 · NPPES record last updated Oct 27, 2025

Key facts

NPI
1790653202
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
3693581 (PA)
Practice address
1235 Pine St
Philadelphia, PA 19107-5945
Phone
(215) 735-9379
NPI assigned
Oct 27, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3693581PAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3693581 PA Yes

Addresses

Primary practice location

1235 Pine St
Philadelphia, PA 19107-5945

Mailing address

258 W Berkley St
Philadelphia, PA 19144-4202
Phone (215) 735-9379

Other providers in Philadelphia, PA

All providers in Philadelphia, PA · Mental Health Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.