Individual provider Active NPI

Jessica Briddell-Hasben

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1821605809
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
417 W Ellet St
Philadelphia, PA 19119-3016
Phone
(484) 215-7102
NPI assigned
Sep 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

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

Addresses

Primary practice location

417 W Ellet St
Philadelphia, PA 19119-3016

Mailing address

417 W Ellet St
Philadelphia, PA 19119-3016

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL liv@lvlliv.com

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
I20260306000156 PA Practitioner - Mental Health Counselor 4880176080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Pennsylvania State University College of Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

322 N Broad St
Apt 1239
Philadelphia, PA 19102-1108

80 Pine St
FL 21
New York, NY 10005-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Level Liv LLC Multi-Specialty CurrentSince Jan 2, 2026 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": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1821605809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W ELLET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W ELLET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193016",
            "telephone_number": "484-215-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDDELL-HASBEN",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "liv@lvlliv.com",
            "affiliation": "N",
            "address_1": "417 W Ellet St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191193016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.