Active NPI
Casa de Consejeria Y Salud Integral, Inc.
- Clinic/Center
- Philadelphia, PA
National Provider Identifier
1972777522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- CASA DE CONSEJERIA Y SALUD INTEGRAL, INC.
- Practice address
- 213 W Allegheny Ave
Philadelphia, PA 19133-3617 - Phone
- (215) 634-3259
- NPI assigned
- Apr 15, 2008
- 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
- Farelen Gonzalez, MHS
- Title
- Executive Director
- Phone
- (215) 634-3259
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
213 W Allegheny Ave
Philadelphia, PA 19133-3617
Mailing address
213 W Allegheny Ave
Philadelphia, PA 19133-3617
Phone (215) 634-3259
Other practice location 1
618 W Lehigh Ave
Philadelphia, PA 19133-2227
Phone (215) 229-8857
Other practice location 2
616 W Lehigh Ave
Philadelphia, PA 19133-2227
Phone (215) 501-7629
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016561660003 | Medicaid | PA | |
| 0016561660004 | Medicaid | PA | |
| 0016561660005 | Medicaid | PA | |
| 0016561660002 | Medicaid | PA | |
| 0016561660001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
213 W Allegheny Ave
Philadelphia, PA 19133
Phone (215) 634-3259
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1437224300
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1649324955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763596800000",
"number": "1972777522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 W ALLEGHENY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191333617",
"telephone_number": "215-634-3259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 W ALLEGHENY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191333617",
"telephone_number": "215-634-3259"
}
],
"practiceLocations": [
{
"address_1": "618 W Lehigh Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191332227",
"country_code": "US",
"telephone_number": "215-229-8857",
"fax_number": "215-634-1234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "616 W Lehigh Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191332227",
"country_code": "US",
"telephone_number": "215-501-7629",
"fax_number": "267-761-9090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CASA DE CONSEJERIA Y SALUD INTEGRAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-15",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "FARELEN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "215-634-3259",
"authorized_official_credential": "MHS"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016561660003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016561660004",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016561660005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016561660002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016561660001",
"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 Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.