HEATHER PHELPS (NPI# 1962967414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962967414 |
| Entity Type | Individual |
| Full Name | HEATHER PHELPS |
| Credential | LPC |
| Practice Address |
100 Yearsley Mill Rd Media PA 19063-5593 |
| Practice Telephone | 4842271488 |
| Mailing Telephone | 4842271488 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
PC010165 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174873608 | Heather Randall Phelps | Counselor | 700 W 6th Ave, Suite 208, Anchorage, AK 99501-2165 | 2012-09-12 |
| 1366087470 | Heather Phelps | Pharmacist | 632 S 100 W, Payson, UT 84651-2864 | 2019-11-12 |
| 1225505001 | Heather Phelps | Nurse Practitioner | 105 W Stone Dr Ste 4b, Kingsport, TN 37660-3365 | 2018-10-30 |
| 1982128724 | Heather N Phelps | Social Worker | 445 N Cross Pointe Blvd, Evansville, IN 47715-4010 | 2017-08-02 |
| 1811419005 | Heather Lynn Phelps | Behavior Technician | 230 N California Ave, Silver City, NM 88061-3604 | 2017-07-10 |
| 1972974491 | Heather Phelps | Case Manager/Care Coordinator | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2015-10-09 |
| 1801071691 | Heather M Phelps | Pediatrics | 60 Oak Hill Blvd, Suite 201, Newnan, GA 30265-2314 | 2007-12-31 |
| 1518169176 | Heather Phelps | Physical Therapist | 8900 Parallel Pkwy, Kansas City, KS 66112-1637 | 2007-06-04 |
| Street Address |
100 YEARSLEY MILL RD |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-5593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154964609 | Allison Dwyer Cericola | Counselor | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2019-10-28 |
| 1205312030 | Christina Hoffman | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5593 | 2018-07-15 |
| 1396221321 | Fatimo Abiola | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-07-12 |
| 1881170900 | Nicole Marie Hays | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-07-11 |
| 1285120469 | Jennifer Lynn Bascelli | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5593 | 2018-07-10 |
| 1376039974 | Amy-megan Ellen James | Licensed Practical Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-07-06 |
| 1912493529 | Rachel Bailey | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-07-06 |
| 1538654918 | Rebecca Mitchell | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-06-27 |
| 1932692043 | Gretchen Delone | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-06-13 |
| 1235621004 | Julia Elizabeth Windsor | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487134441 | Elizabeth Knasiak | Counselor | 214 Winter St, Media, PA 19063-1515 | 2018-08-20 |
| 1477039469 | Sydney Ciarrocchi | Counselor | 206 S Orange St Apt 10, Media, PA 19063-3679 | 2018-07-13 |
| 1730562711 | Providence Living LLC | Counselor | 280 N Providence Rd Ste 2, Media, PA 19063-3525 | 2015-07-08 |
| 1962882159 | Erin Cooper | Counselor | 518 Vernon St, Media, PA 19063-3907 | 2015-06-03 |
| 1043622293 | Deana Crawford | Counselor | 124 East Second Street, Apt B, Media, PA 19063 | 2014-05-22 |
| 1548324353 | Marilyn P. West-nulty | Counselor | 22 N Pennell Rd, Media, PA 19063-5520 | 2006-12-19 |
| 1871651893 | Nancy V Forrest | Counselor | 412 W Baltimore Ave, Media, PA 19063-3602 | 2006-12-04 |
| 1891862256 | Arthur S Mchenry | Counselor | 200 North Monroe Street, Media, PA 19063 | 2006-11-29 |
| 1609839620 | Harold S. Dalton Jr. | Counselor | 24 Veteran Square, 2nd Floor, Media, PA 19063-3101 | 2006-04-10 |
| 1679030282 | Lawrence Bernard Creamer Jr. | Counselor | 1223 N Providence Rd, Media, PA 19063-1235 | 2019-03-01 |
| Find all providers in MEDIA | ||||
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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.