Colby C Agostinelli, LMFT, CST
Individual provider Active NPI Marriage & Family Therapist · Philadelphia, PA
NPI 1891385597 · NPPES record last updated Mar 2, 2023
Key facts
- NPI
- 1891385597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MF001204 (PA)
- Practice address
- 100 S Broad St Ste 834
Philadelphia, PA 19110-1018 - Phone
- (267) 603-3758
- NPI assigned
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MF001204 | PA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colby Agostinelli, LLC | Marriage & Family Therapist | Current |
Accepting new patients |
Locations
255 S 17th St
Ste 2100
Philadelphia, PA 19103
Phone (215) 514-6954
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | MF001204 | PA | Yes |
Addresses
Primary practice location
100 S Broad St Ste 834
Philadelphia, PA 19110-1018
Mailing address
255 S 17TH St Ste 2100
Philadelphia, PA 19103-6211
Other providers in Philadelphia, PA
- Kelly Patricia Agnew
- Lauren Agnew
- Paris Agnew
- Zoe Agoos
- Yasmeen Mele Agosti
- Lindsay Agostinelli
- Andrew Martin Agostini
- Michelle Agostini
- David Agosto
- Omar Agosto
All providers in Philadelphia, PA · Marriage & Family Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.