NPIMap

Organization Active NPI

Its Mine Movement, Inc

  • Mental Health Counselor
  • Garnet Valley, PA
National Provider Identifier
1922672005
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ITS MINE MOVEMENT, INC
Practice address
1440 Conchester Hwy Ste 8a
Garnet Valley, PA 19060-2105
Phone
(215) 258-9110
Fax
(215) 258-8588
NPI assigned
May 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Authorized official

Name
Camilla Aminah James
Title
Executive Director
Phone
(267) 901-8612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1440 Conchester Hwy Ste 8a
Garnet Valley, PA 19060-2105

Mailing address

701 E Cathedral Rd Ste 45-1395
Philadelphia, PA 19128-2128
Phone (267) 766-6060

Other identifiers 1

IdentifierTypeStateIssuer
103965593MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL WWW.SIMPLEPRACTICE.COM Health Information Exchange (HIE)
CONNECT URL www.therapynotes.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1440 Conchester Hwy
Ste 8A
Garnet Valley, PA 19060
Phone (215) 258-9110

610 York Rd
Ste 438
Jenkintown, PA 19046
Phone (215) 650-7916

701 E Cathedral Rd
Ste 451395
Philadelphia, PA 19128
Phone (215) 258-9110

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1922672005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E CATHEDRAL RD STE 45-1395",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282128",
            "telephone_number": "267-766-6060",
            "fax_number": "215-258-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 CONCHESTER HWY STE 8A",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190602105",
            "telephone_number": "215-258-9110",
            "fax_number": "215-258-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITS MINE MOVEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "CAMILLA",
        "authorized_official_middle_name": "AMINAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "267-901-8612"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103965593",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.SIMPLEPRACTICE.COM",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 E Cathedral Rd Ste 45-1395",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191282128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 E Cathedral Rd Ste 45-1395",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191282128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garnet Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.