New Phase Counseling, LLC
Organization Active NPI Mental Health Counselor · Dresher, PA
NPI 1992392328 · NPPES record last updated Dec 31, 2020
Key facts
- NPI
- 1992392328
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- NEW PHASE COUNSELING, LLC
- Practice address
- 3103 Alpin Dr
Dresher, PA 19025-1601 - Phone
- (215) 804-8582
- NPI assigned
- Dec 31, 2020
- Organization subpart
- No
Authorized official
- Name
- Nichole M. Robinson, LPC
- Title
- Owner
- Phone
- (215) 804-8582
Practitioners 1
-
Nichole M. Robinson, PSYD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240301002631 | PA | Part B Supplier - Clinic/Group Practice | 4082059803 |
Receives reassigned benefits from 1 practitioner Practice locations: Fort Washington, PA |
National Provider Directory
Locations
1300 Virginia Dr
Ste 110A
Fort Washington, PA 19034
Phone (215) 804-8582
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
3103 Alpin Dr
Dresher, PA 19025-1601
Mailing address
3103 Alpin Dr
Dresher, PA 19025-1601
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All providers in Dresher, PA · Mental Health Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.