Organization Active NPI

Real Life Emotions, LLC

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1801664420
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
REAL LIFE EMOTIONS, LLC
Practice address
30 S 15TH Street Ste 1550
PMB 525572
Philadelphia, PA 19102
Phone
(484) 273-2847
NPI assigned
Dec 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Jason Boyko, MS, LPCNPI 1801179023
Title
Ceo & Therapist
Phone
(484) 273-2847

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

30 S 15TH Street Ste 1550
PMB 525572
Philadelphia, PA 19102

Mailing address

30 S 15TH Street Ste 1550
PMB 525572
Philadelphia, PA 19102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240223000072 PA Part B Supplier - Clinic/Group Practice 6800230350 Receives reassigned benefits from 3 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

5930 Hamilton Blvd
Wescosville, PA 18106
Phone (215) 398-0730

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1801664420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S 15TH STREET STE 1550",
            "address_2": "PMB 525572",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S 15TH STREET STE 1550",
            "address_2": "PMB 525572",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "484-273-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL LIFE EMOTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "BOYKO",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO & THERAPIST",
        "authorized_official_telephone_number": "484-273-2847",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.