Emily Endres

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4708 Chester Ave Apt 3
Philadelphia, PA 19143-3762

Phone

(267) 225-3559

NPI assigned

May 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 13, 2024 through Dec 13, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Emily Endres Psychotherapy, LLC

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1750153409
  NPD Authorized official

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

{
    "created_epoch": "1589673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1841812401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 CHESTER AVE APT 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433762",
            "telephone_number": "267-225-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 CHESTER AVE APT 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433762",
            "telephone_number": "267-225-3559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5219 Webster St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191432626",
            "country_code": "US",
            "telephone_number": "267-225-3559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDRES",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-17",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC015217",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Ende, MD
• Endeavoring Wellness LLC
• Endocrine Metabolic Assoc PC
• Endodontics Limited PC
• Anusha Endreddy, MBBS
• Jane Marie Endres
• Paul Joseph Endres, MD
• Donna L Endy, D.M.D.
• Michael Enea, DO
• Nwamaka Denise Eneanya, M.D.

• Mental Health Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.