MS. JOSEPHINE MONIQUE EDGE (NPI# 1790020261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790020261 |
| Entity Type | Individual |
| Full Name | MS. JOSEPHINE MONIQUE EDGE |
| Credential | LMFT |
| Practice Address |
4510 Frankford Ave 2nd Floor Philadelphia PA 19124-3602 |
| Mailing Address |
432 N 6th St Philadelphia PA 19123-4004 |
| Practice Telephone | 2158319882 |
| Practice Fax Number | 2158319887 |
| Mailing Telephone | 2159252400 |
| Mailing Fax Number | 2159259162 |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2015-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MF000579 | PA | Behavioral Health & Social Service Providers |
| Street Address |
4510 FRANKFORD AVE 2ND FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19124-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821064015 | Andrew R Quint | Internal Medicine | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2006-02-27 |
| 1922650415 | Johnnie C Young Sr. | Counselor | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2019-07-15 |
| 1265098768 | Katherine Ierardi | Registered Nurse | 4510 Frankford Ave, Philadelphia, PA 19124 | 2019-05-10 |
| 1306319504 | Christopher Aguilar | Registered Nurse | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2019-01-10 |
| 1831661362 | Kevin Williams Jr. | Counselor | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2018-12-21 |
| 1508334186 | Danielle Mangiaracina | Counselor | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2018-11-13 |
| 1518442086 | Christine J Kim | Dentist | 4510 Frankford Ave, Philadelphia, PA 19124 | 2018-10-01 |
| 1770080160 | Tiffany Filomena Interra | Counselor | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2018-04-11 |
| 1770019481 | Patricia Richardson | Counselor | 4510 Frankford Ave, 2nd Floor, Philadelphia, PA 19124-3602 | 2017-05-02 |
| 1912447533 | Tiffany Reid | Nurse Practitioner | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2017-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
| 1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
| 1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
| 1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
| Find all providers in zip 19124 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738592 | Julia Mcgrath | Marriage & Family Therapist | 170 Cotton St Apt 205, Philadelphia, PA 19127-1445 | 2020-10-19 |
| 1629684832 | Jennifer Shortelle | Marriage & Family Therapist | 200 N 16th St Apt 1901, Philadelphia, PA 19102-1211 | 2020-09-22 |
| 1336754225 | Sage Regina | Marriage & Family Therapist | 1533 S Bouvier St, Philadelphia, PA 19146-4745 | 2020-09-09 |
| 1376157057 | Charmaine Ensinger | Marriage & Family Therapist | 338 Mercy St, Philadelphia, PA 19148-2632 | 2020-09-01 |
| 1437763174 | Maisy Hughes | Marriage & Family Therapist | 828 N Stillman St, Philadelphia, PA 19130-1836 | 2020-09-01 |
| 1952912594 | Amy L Crichton | Marriage & Family Therapist | 979 N Marshall St Unit 2, Philadelphia, PA 19123-1306 | 2020-08-16 |
| 1710596549 | Kellie Smith | Marriage & Family Therapist | 7552 Frankford Ave, Philadelphia, PA 19136-3534 | 2020-07-28 |
| 1982221123 | Margaret Claire Fromuth | Marriage & Family Therapist | 233 S 6th St Ste 3763, Philadelphia, PA 19106-3749 | 2020-07-04 |
| 1467077941 | Eileen Pitt | Marriage & Family Therapist | 2127 Homer St, Philadelphia, PA 19138-1935 | 2020-06-10 |
| 1154957686 | Akilah Pierre | Marriage & Family Therapist | 5049 Copley Rd, Philadelphia, PA 19144-4802 | 2020-03-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19124 |
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| 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.