Birthstone Trauma Healing, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BIRTHSTONE TRAUMA HEALING, LLC

Practice address

1500 Walnut St Ste 603
Philadelphia, PA 19102-3516

Phone

(215) 258-8080

NPI assigned

Feb 24, 2021

Last updated

Feb 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Andrew Sosin, MA, LPC, NCCNPI 1689227738

Title

Owner/Therapist

Phone

(215) 258-8080

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: tim@birthstonetraumahealing.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Sosin, LPC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1689227738
  NPD Authorized official

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1932793627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 N HOWARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191222411",
            "telephone_number": "434-509-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST STE 603",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023516",
            "telephone_number": "215-258-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTHSTONE TRAUMA HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "SOSIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "215-258-8080",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14504769",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-1",
            "identifier": "1689227738",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tim@birthstonetraumahealing.com",
            "affiliation": "N",
            "endpointDescription": "Hippa Compliant Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "1500 Walnut St Ste 603",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191023516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.