Individual provider Active NPI

Elizabeth L Brasgalla, LPC

  • Professional Counselor
  • King of Prussia, PA
National Provider Identifier
1841957784
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC018187 Issued in PA
Practice address
357 S Gulph Rd Ste 260
King of Prussia, PA 19406-3739
Phone
(484) 468-1407
NPI assigned
Nov 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC018187 PA
Professional Counselor 101YP2500X PC018187 PA Primary

Addresses

Primary practice location

357 S Gulph Rd Ste 260
King of Prussia, PA 19406-3739

Mailing address

357 S Gulph Rd Ste 260
King of Prussia, PA 19406-3739
Phone (484) 468-1407

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
I20250604000614 PA Practitioner - Mental Health Counselor 6608385398 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC018187PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

357 S Gulph Rd
Ste 260
King of Prussia, PA 19406
Phone (484) 468-1407

1055 E Baltimore Pike
Ste 300
Media, PA 19063
Phone (253) 346-0020

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

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": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1841957784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 S GULPH RD STE 260",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063739",
            "telephone_number": "484-468-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 S GULPH RD STE 260",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063739",
            "telephone_number": "484-468-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASGALLA",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-28",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC018187",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC018187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.