KELLY PETERS COUNSELING (NPI# 1750758181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750758181 |
| Entity Type | Organization |
| Organization Name | KELLY PETERS COUNSELING |
| Practice Address |
6060 Ridge Ave Suite 210 Philadelphia PA 19128-1657 |
| Practice Telephone | 2675369384 |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |
| Authorized Official Name | MS. KELLY PETERS (OWNER/THERAPIST) |
| Authorized Official Telephone | 2675369384 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
008088 | PA | Behavioral Health & Social Service Providers |
| Street Address |
6060 RIDGE AVE SUITE 210 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609149327 | Elana Chana Goldmintz-gotfried | Psychologist | 6060 Ridge Ave, Philadelphia, PA 19128-1657 | 2012-02-10 |
| 1013568674 | Baylee Summers | Physician Assistant | 6060 Ridge Ave, Philadelphia, PA 19128-1657 | 2019-09-25 |
| 1881165181 | Jamie C Fleischer | Nurse Practitioner | 6060 Ridge Ave, Philadelphia, PA 19128-1657 | 2018-12-12 |
| 1407236581 | Kelly Peters | Counselor | 6060 Ridge Ave, Suite 210, Philadelphia, PA 19128-1657 | 2015-06-04 |
| 1073911061 | Elanah Dalyah Naftali | Marriage & Family Therapist | 6060 Ridge Ave, Philadelphia, PA 19128-1657 | 2014-12-08 |
| 1073921821 | Edith Mannion | Marriage & Family Therapist | 6060 Ridge Ave, Suite 210, Philadelphia, PA 19128-1647 | 2014-07-24 |
| 1053729814 | On Demand Urgent Care Group PC | Clinic/Center | 6060 Ridge Ave, Ste 100, Philadelphia, PA 19128-1647 | 2014-07-24 |
| 1265846851 | Amy Langsam | Psychologist | 6060 Ridge Ave, Fl 2, Philadelphia, PA 19128-1647 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311575 | Jennifer Victoria Hart | Counselor | 1644 W Champlost St, Philadelphia, PA 19141-1819 | 2020-09-19 |
| 1184233892 | Jordyn Occhipinti | Counselor | 429 Daly St, Philadelphia, PA 19148-5702 | 2020-07-28 |
| 1346868783 | Walter J Bullock | Counselor | 1831 Wakeling St, Philadelphia, PA 19124-2855 | 2020-07-13 |
| 1114544475 | Atiya Walida Pope | Counselor | 1027 Wagner Ave, Philadelphia, PA 19141-2927 | 2020-07-01 |
| 1639795560 | Caroline Maccherone | Counselor | 2207 E Norris St, Philadelphia, PA 19125-1905 | 2020-06-16 |
| 1093339988 | Brianna Bliss | Counselor | 836 S Howard St, Philadelphia, PA 19147-3436 | 2020-06-05 |
| 1497376578 | Frank Allen Edwards Jr. | Counselor | 2506 S Broad St, Philadelphia, PA 19145-4639 | 2020-04-30 |
| 1083234538 | David Sparrow Sr. | Counselor | 2929 Arch St Ste 1746, Philadelphia, PA 19104-2857 | 2020-04-24 |
| 1316567654 | Cheryl D Nelson | Counselor | 3300 Henry Ave Ste 302, Philadelphia, PA 19129-1314 | 2020-04-16 |
| 1952938912 | Marjola Como | Counselor | 108 Cliffwood Rd, Philadelphia, PA 19115-2715 | 2020-03-26 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19128 |
Please comment or provide details below to improve the information on KELLY PETERS COUNSELING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.