Active NPI
Brendan Leonard Rybaltowski
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1801768205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC001735
- Practice address
- 230 S Broad St Ste 402
Philadelphia, PA 19102-4108 - Phone
- (215) 282-3004
- NPI assigned
- Sep 23, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC001735 | PA | Primary |
Addresses
Primary practice location
230 S Broad St Ste 402
Philadelphia, PA 19102-4108
Mailing address
781 N Judson St
Philadelphia, PA 19130-2507
Phone (215) 282-3004
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 |
|---|---|---|---|
| APC001735 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philatherapy, LLC. | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1801768205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "781 N JUDSON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191302507",
"telephone_number": "215-282-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 S BROAD ST STE 402",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024108",
"telephone_number": "215-282-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYBALTOWSKI",
"first_name": "BRENDAN",
"middle_name": "LEONARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-23",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "APC001735",
"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 Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.