Individual provider Active NPI

Deborah S Reilly, M.S.

  • Professional Counselor
  • Langhorne, PA
National Provider Identifier
1831321892
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006504 Issued in PA
Practice address
206 Corporate Dr.
Langhorne, PA 19047-8007
Phone
(267) 799-3079
Fax
(215) 579-6165
NPI assigned
Aug 10, 2009
Last updated
Nov 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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 PC006504 PA Primary

Addresses

Primary practice location

206 Corporate Dr.
Langhorne, PA 19047-8007

Mailing address

131 Gleniffer Hill Rd
Richboro, PA 18954-1368
Phone (215) 354-1253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 12, 2024 through Aug 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC006504PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1831321892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 GLENIFFER HILL RD",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541368",
            "telephone_number": "215-354-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CORPORATE DR.",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478007",
            "telephone_number": "267-799-3079",
            "fax_number": "215-579-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "DEBORAH",
        "middle_name": "S",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.