Active NPI
Jennifer Morgan Chambers Rakay, MA, LPC, BC-DMT
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1902329071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC009044
- Practice address
- 575 Fountain St
Philadelphia, PA 19128-2449 - Phone
- (679) 084-6642
- NPI assigned
- Jul 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dance Therapist | 225600000X | 1219 | ||
| Professional Counselor | 101YP2500X | PC009044 | PA | Primary |
Addresses
Primary practice location
575 Fountain St
Philadelphia, PA 19128-2449
Mailing address
575 Fountain St
Philadelphia, PA 19128-2449
Phone (304) 389-1500
Other practice location 1
255 S 17th St Ste 1010
Philadelphia, PA 19103-6210
Phone (267) 507-1310
Other names 1
- Morgan Rakay
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC009044 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177
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": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1902329071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 FOUNTAIN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191282449",
"telephone_number": "304-389-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 FOUNTAIN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191282449",
"telephone_number": "679-084-6642"
}
],
"practiceLocations": [
{
"address_1": "255 S 17th St Ste 1010",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191036210",
"country_code": "US",
"telephone_number": "267-507-1310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAKAY",
"first_name": "JENNIFER MORGAN",
"middle_name": "CHAMBERS",
"credential": "MA, LPC, BC-DMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-20",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225600000X",
"taxonomy_group": "",
"desc": "Dance Therapist",
"state": null,
"license": "1219",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC009044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MORGAN",
"last_name": "RAKAY",
"credential": "MA, LPC, BC-DMT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.