Active NPI
Richard Joseph Estell, PH.D.
- Mental Health Counselor
- Pipersville, PA
National Provider Identifier
1841322237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SI01172
- Practice address
- 4974 W Rolling Glen Dr
Pipersville, PA 18947-1072 - Phone
- (215) 766-9928
- Fax
- (609) 633-1526
- NPI assigned
- Mar 12, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SI01172 | NJ | Primary |
Addresses
Primary practice location
4974 W Rolling Glen Dr
Pipersville, PA 18947-1072
Mailing address
4974 W Rolling Glen Dr
Pipersville, PA 18947-1072
Phone (215) 766-9928
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0619604 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI01172 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New Jersey Omb Centralized Payroll | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841322237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4974 W ROLLING GLEN DR",
"city": "PIPERSVILLE",
"state": "PA",
"postal_code": "189471072",
"telephone_number": "215-766-9928",
"fax_number": "609-633-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4974 W ROLLING GLEN DR",
"city": "PIPERSVILLE",
"state": "PA",
"postal_code": "189471072",
"telephone_number": "215-766-9928",
"fax_number": "609-633-1526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTELL",
"first_name": "RICHARD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "SI01172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0619604",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pipersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.