Florence Sisang Mungo

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC011220 Issued in PA

Practice address

6724 Rising Sun Ave FL 1
Philadelphia, PA 19111-4629

Phone

(215) 214-5941

Fax

(215) 214-5941

NPI assigned

Jul 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  PA, Professional

  Medicare reassignment NPD
• Psyrev8808 Transformational Center

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1720668122
  NPD

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

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627689600000",
    "number": "1811660178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6724 RISING SUN AVE FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191114629",
            "telephone_number": "215-214-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6724 RISING SUN AVE FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191114629",
            "telephone_number": "215-214-5941",
            "fax_number": "215-214-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGO",
        "first_name": "FLORENCE",
        "middle_name": "SISANG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-31",
        "last_updated": "2021-07-31",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF SOCIAL WORKER AND PROFESSIONAL COUNSELOR",
            "identifier": "PC011220",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Mundi, PA
• Gem Mundy
• Sara Muneer, MD
• Alison Mungan, B.S.
• Nicole S Mungiole, PA-C
• Tahanee Munir
• Parth Munjal, MD
• Glynna Munlyn
• Mayra A Munoz Rosas, RN
• Maria Munoz-Allen, MD

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.