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WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM INC. NPI 1194757989


NPI Information

NPI: 1194757989
Provider Name: WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC.

Doing Business As: THE CONSORTIUM, INC.

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
451 S UNIVERSITY AVE
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 596-8100
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WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC. is a counselor in Philadelphia, PA. The provider is 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. WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC. NPI is 1194757989. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Consortium, Inc..

The provider's business location address is:

451 S UNIVERSITY AVE
PHILADELPHIA, PA
ZIP 19104-544
Phone: (215) 596-8100
Fax: (215) 382-4405

The provider's authorized official is John F White .
The authorized official title is President/ceo and has the following contact phone number (215) 596-8100.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 12/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorPENNSYLVANIAYes
2101YA0400XCounselorAddiction (Substance Use Disorder)PENNSYLVANIANo
3101YM0800XCounselorMental HealthNo
4101YM0800XCounselorMental HealthPENNSYLVANIANo
5251B00000XCase ManagementNo
6261QM0850XClinic/CenterAdult Mental HealthNo
7261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
8251S00000XCommunity/Behavioral HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100715523 0001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.