ARNOLD TIM MASSAQUOI (NPI# 1871117093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871117093 |
| Entity Type | Individual |
| Full Name | ARNOLD TIM MASSAQUOI |
| Other Name | TIM MASSAQUOI |
| Credential | LPC |
| Practice Address |
461 Aurania St Philadelphia PA 19128-4010 |
| Practice Telephone | 4849514513 |
| Mailing Telephone | 4849514513 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | PC011912 | PA | Behavioral Health & Social Service Providers |
| Street Address |
461 AURANIA ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128-4010 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737412 | Tara Jenkins | Counselor | 6701 Woolston Ave, Philadelphia, PA 19138-2628 | 2020-10-11 |
| 1124635339 | Elizabeth Hoffman Sporer | Counselor | 1318 Marlborough St, Philadelphia, PA 19125-3215 | 2020-09-30 |
| 1437764933 | Elizabeth Richburg | Counselor | 5709 W Jefferson St, Philadelphia, PA 19131-3417 | 2020-09-11 |
| 1144833153 | Taylor Daly | Counselor | 7002 Cresheim Rd, Philadelphia, PA 19119-2535 | 2020-08-28 |
| 1891315453 | Alice D Gresham | Counselor | 2025 Conlyn St, Philadelphia, PA 19138-2925 | 2020-04-23 |
| 1518587864 | Wesley G Harris IIi | Counselor | 1621 N 54th St, Philadelphia, PA 19131-4002 | 2020-04-16 |
| 1497383954 | R Denise Coles | Counselor | 7320 Sommers Rd, Philadelphia, PA 19138-1330 | 2020-03-31 |
| 1023645058 | Sicklecelldeiseasassociationofamericaphiladelphia/delawarevalleychapte | Counselor | 5300 Wynnefield Ave Fl 2, Philadelphia, PA 19131-2318 | 2020-03-27 |
| 1245873736 | Antonia Cianfrani | Counselor | 1901 S 9th St Ste 520, Philadelphia, PA 19148-2391 | 2019-10-28 |
| 1457908592 | Syreeta Mcdonald | Counselor | 4429 Unruh Ave, Philadelphia, PA 19135-2732 | 2019-08-22 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19128 |
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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.