Individual provider Active NPI

Rifa Wahl

  • Professional Counselor
  • Scranton, PA
National Provider Identifier
1801587928
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC019995 Issued in PA
Practice address
228 S Main Ave
Scranton, PA 18504-2545
Phone
(570) 209-5880
NPI assigned
May 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC019995 PA Primary

Addresses

Primary practice location

228 S Main Ave
Scranton, PA 18504-2545

Mailing address

228 S Main Ave
Scranton, PA 18504-2545

Other practice location 1

1528 Walnut St Ste 805
Philadelphia, PA 19102-3608
Phone (267) 758-7900 ext. 3681

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
I20260304001252 PA Practitioner - Mental Health Counselor 8628550191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

228 S Main Ave
Scranton, PA 18504-2545

330 Deer Dr
Fleetville, PA 18420-9023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC019995PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thaxton Holistic Wellness Center Professional CurrentSince Feb 20, 2026 Accepting new patients
Rifa Wahl Psychotherapy, LLC Current Accepting new patients

Locations

228 S Main Ave
Scranton, PA 18504
Phone (570) 468-5191

Organizations & group practices 2

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": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1801587928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 S MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042545",
            "telephone_number": "570-209-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1528 Walnut St Ste 805",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191023608",
            "country_code": "US",
            "telephone_number": "267-758-7900 x3681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAHL",
        "first_name": "RIFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC019995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.