ALICE D GRESHAM (NPI# 1891315453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891315453 |
| Entity Type | Individual |
| Full Name | ALICE D GRESHAM |
| Credential | M.A. |
| Practice Address |
2025 Conlyn St Philadelphia PA 19138-2925 |
| Practice Telephone | 9366627478 |
| Mailing Telephone | 9366627478 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2025 CONLYN ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19138-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043788227 | Clinica Pharmacy Inc | Pharmacy | 7157 Ogontz Ave, Philadelphia, PA 19138 | 2018-11-06 |
| 1184152308 | Prime Choice Dental, Inc | Dentist | 7155 Ogontz Ave, Philadelphia, PA 19138 | 2017-06-01 |
| 1063950376 | Prodigy Home Care | Home Health | 6137 Limekiln Pike, Phiadelphia, PA 19138 | 2017-02-07 |
| 1194275313 | William Gary George Jr. | Marriage & Family Therapist | 7101 N 20th St., Phila, PA 19138 | 2016-10-12 |
| 1790234490 | Gary Downing | Counselor | 5702 Boyer St., Philadelphia, PA 19138 | 2016-09-23 |
| 1093153785 | Northwest Medical & Rehabilitation Center PC | Internal Medicine | 6315 Stenton Ave, Philadelphia, PA 19138 | 2013-06-05 |
| 1902045586 | America's Best Contacts & Eyeglasses | Technician/Technologist | 5301 Chew Ave. B1, Philadelphia, PA 19138 | 2009-02-05 |
| 1588848477 | Tasha Carol Smith | Licensed Practical Nurse | 6947 Cedarpark Avenue, Phiadelphia, PA 19138 | 2007-12-27 |
| 1730107970 | Gregory Alan Nelson | Internal Medicine | 6315-17 Stenton Avenue, Philadelphia, PA 19138 | 2006-07-17 |
| 1588699706 | Michael D Helzner | Family Medicine | 1909/17 E Washington Lane, Philadelphia, PA 19138 | 2006-07-12 |
| Find all providers in zip 19138 | ||||
| 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 |
| 1871117093 | Arnold Tim Massaquoi | Counselor | 461 Aurania St, Philadelphia, PA 19128-4010 | 2020-06-03 |
| 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 | 19138 |
Please comment or provide details below to improve the information on ALICE D GRESHAM.
| 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.