Individual provider Active NPI

Jennifer Morgan Chambers Rakay, MA, LPC, BC-DMT

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1902329071
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009044 Issued in PA
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

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC009044PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Dec 28, 2024 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

Verify at the official NPI Registry.