Individual provider Active NPI

Emily Larkin

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1972112399
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011359 Issued in PA
Practice address
1420 Walnut St Ste 1500
Philadelphia, PA 19102-4015
Phone
(610) 544-2110
NPI assigned
Jul 31, 2020
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC011359 PA Primary

Addresses

Primary practice location

1420 Walnut St Ste 1500
Philadelphia, PA 19102-4015

Mailing address

510 Cross St
Philadelphia, PA 19147-6513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC011359PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Psychological PC CurrentSince Aug 2, 2020 Accepting new patients
Optum Behavioral Care of Delaware, Inc Past Accepting new patients

Locations

1420 Walnut St
Ste 1500
Philadelphia, PA 19102
Phone (610) 544-2100

1420 Walnut St
Ste 802
Philadelphia, PA 19102
Phone (267) 629-5334

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1972112399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CROSS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191476513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WALNUT ST STE 1500",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024015",
            "telephone_number": "610-544-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 31, 2020; 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.