Individual provider Active NPI

Roslyn P Shoket, M.ED

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1972603272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PS005893L Issued in PA
Practice address
8001 Roosevelt Blvd
205-207
Philadelphia, PA 19152-3038
Phone
(215) 332-1914
Fax
(215) 332-1873
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PS005893L PA Primary

Addresses

Primary practice location

8001 Roosevelt Blvd
205-207
Philadelphia, PA 19152-3038

Mailing address

1859A Beyer Ave
Philadelphia, PA 19115-4701
Phone (215) 332-1914

Other identifiers 3

IdentifierTypeStateIssuer
0660520000OtherPAMAGELLAN ID
42159OtherPABC/BS ID
7431340OtherPAAETNA ID

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
PS005893LPAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wives Self Help Foundation, Inc Mental Health Past Accepting new patients
Wives Self Help Foundation, Inc Mental Health Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972603272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859A BEYER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154701",
            "telephone_number": "215-332-1914",
            "fax_number": "215-332-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD",
            "address_2": "205-207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523038",
            "telephone_number": "215-332-1914",
            "fax_number": "215-332-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKET",
        "first_name": "ROSLYN",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PS005893L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN ID",
            "identifier": "0660520000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ID",
            "identifier": "42159",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7431340",
            "state": "PA"
        }
    ],
    "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 8, 2007; 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.