Active NPI
National Mentor Healthcare LLC
Doing business as Pennsylvania Mentor
- Community/Behavioral Health Agency
- Broomall, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 105910
- Legal business name
- NATIONAL MENTOR HEALTHCARE LLC
- Doing business as
- Pennsylvania Mentor
- Practice address
- 450 Parkway
Suite 204
Broomall, PA 19008-4202 - Phone
- (610) 353-5332
- Fax
- (610) 353-2814
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Patricia Rodenberg-Roberts
- Title
- VP & Sr Asst General Counsel
- Phone
- (952) 836-2234
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | |||
| Community/Behavioral Health Agency | 251S00000X | 201400 | PA | |
| Community/Behavioral Health Agency | 251S00000X | 105910 | PA | Primary |
| Community/Behavioral Health Agency | 251S00000X | 200940 | PA | |
| Community/Behavioral Health Agency | 251S00000X | 465190 | PA | |
| Community/Behavioral Health Agency | 251S00000X | 354900 | PA | |
| Community/Behavioral Health Agency | 251S00000X | 0013499739-0010 | PA | |
| Community/Behavioral Health Agency | 251S00000X | 201020 | PA | |
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
450 Parkway
Suite 204
Broomall, PA 19008-4202
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Phone (800) 388-5150
Other names 1
- PENNSYLVANIA MENTOR
National Provider Directory
National Provider Directory- Tax ID family
- National Mentor Healthcare LLC
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Behavioral Health Agency
- Conshohocken, PA
- NPI 1487060638
-
dba Pennsylvania Mentor
- Community/Behavioral Health Agency
- Broomall, PA
- NPI 1952989212
Locations
450 Parkway
Ste 204
Broomall, PA 19008
Phone (610) 353-5332
3544 N Progress Ave
Ste 110
Harrisburg, PA 17110
Phone (717) 901-7380
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Behavior Analyst
- Broomall, PA
- NPI 1033037239
-
- Behavior Technician
- Broomall, PA
- NPI 1043138118
-
- Behavior Analyst
- Broomall, PA
- NPI 1689544504
-
- Mental Health Counselor
- Trevose, PA
- NPI 1932620564
-
- Counselor
- Broomall, PA
- NPI 1336066398
-
- Behavior Analyst
- Broomall, PA
- NPI 1942132212
-
- Behavior Technician
- Broomall, PA
- NPI 1508788753
-
- Behavior Analyst
- Broomall, PA
- NPI 1700716578
-
- Behavior Analyst
- Broomall, PA
- NPI 1811828353
-
- Behavior Technician
- Broomall, PA
- NPI 1053239475
-
- Behavior Technician
- Broomall, PA
- NPI 1316861966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770076800000",
"number": "1972667004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 FRANCE AVE S STE 350",
"city": "EDINA",
"state": "MN",
"postal_code": "554351810",
"telephone_number": "800-388-5150",
"fax_number": "617-790-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 PARKWAY",
"address_2": "SUITE 204",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190084202",
"telephone_number": "610-353-5332",
"fax_number": "610-353-2814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL MENTOR HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A",
"authorized_official_last_name": "RODENBERG-ROBERTS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "VP & SR ASST GENERAL COUNSEL",
"authorized_official_telephone_number": "952-836-2234"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "201400",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "105910",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "200940",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "465190",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "354900",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "0013499739-0010",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "201020",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PENNSYLVANIA MENTOR",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PENNSYLVANIA MENTOR",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Broomall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.