Individual provider Active NPI

Botros Barsoum

  • Professional Counselor
  • Swarthmore, PA
National Provider Identifier
1871410571
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC019912 Issued in PA
Practice address
630 Fairview Rd Ste 201
Swarthmore, PA 19081-2335
Phone
(610) 765-1109
NPI assigned
Jul 2, 2026
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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 PC019912 PA Primary

Addresses

Primary practice location

630 Fairview Rd Ste 201
Swarthmore, PA 19081-2335

Mailing address

333 Prospect Ave
Bridgeport, PA 19405-1619
Phone (610) 504-9906

Other practice location 1

1010 Haddonfield Berlin Rd Ste 410
Voorhees, NJ 08043-3514
Phone (856) 809-2940

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1871410571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 PROSPECT AVE",
            "city": "BRIDGEPORT",
            "state": "PA",
            "postal_code": "194051619",
            "telephone_number": "610-504-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FAIRVIEW RD STE 201",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812335",
            "telephone_number": "610-765-1109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Haddonfield Berlin Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080433514",
            "country_code": "US",
            "telephone_number": "856-809-2940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARSOUM",
        "first_name": "BOTROS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC019912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swarthmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.