Arnold Tim Massaquoi, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC011912 Issued in PA

Practice address

461 Aurania St
Philadelphia, PA 19128-4010

Phone

(484) 951-4513

NPI assigned

Jun 3, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tim Massaquoi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1871117093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 AURANIA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284010",
            "telephone_number": "484-951-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 AURANIA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284010",
            "telephone_number": "484-951-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSAQUOI",
        "first_name": "ARNOLD",
        "middle_name": "TIM",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC011912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIM",
            "last_name": "MASSAQUOI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Barry Massa, M.D., PH.D.
• Jacob Massa
• Julie Ann Massa, CCC-SLP
• Ryan Massa, MD
• Karen Massada, M.D
• Talitha M Massaquoi, CRNA
• Kristina Massari, CRNA
• Giacomina Massaro-Giordano, MD
• Betsy Massaro
• Dianne Massaro, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.