Citywide Community Counseling Services
Clinic/Center (Adult Mental Health)

Address: 5807 Bustleton Avenue, Philadelphia, PA 19149
Phone: 2159211419

Citywide Community Counseling Services (NPI# 1114341328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1114341328
Entity Type Organization
Organization Name CITYWIDE COMMUNITY COUNSELING SERVICES,
Practice Address 5807 Bustleton Avenue
Philadelphia
PA 19149
Practice Telephone 2159211419
Mailing Address 5807 Bustleton Avenue
Philadelphia
PA 19149
Mailing Telephone 2159211419
Authorized Official Name Dr. Modesta Molina (CHEIF OF OPERATION)
Authorized Official Telephone 2152919500
Authorized Official Credential MD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2014-02-07
Last Update Date 2014-02-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM0850X Clinic/Center · Adult Mental Health Ambulatory Health Care Facilities

Providers with the same name

NPI Name Taxonomy Address Enumeration
1497170625 Citywide Community Counseling Services Clinic/Center 537 E. Allegheny Avenue, Apt/suite, Philadelphia, PA 19134 2014-02-25
1598189771 Citywide Community Counseling Services Clinic/Center 1346 Knorr St, Philadelphia, PA 19149 2014-02-10
1962826149 Citywide Community Counseling Services Clinic/Center 3125 Frankford Avenue, Philadelphia, PA 19134 2014-02-10
1780008961 Citywide Community Counseling Services Clinic/Center 137 E. Allegheny Avenue, Philadelphia, PA 19134 2014-02-10
1841614054 Citywide Community Counseling Services Clinic/Center 5241 Jackson St, Philadelphia, PA 19124 2014-02-07
1942626205 Citywide Community Counseling Services Clinic/Center 537 E Allegheny Ave, Apt/suite, Philadelphia, PA 19134-2328 2014-03-11
1760808026 Citywide Community Counseling Services Clinic/Center 537 E Allegheny Ave, Apt/suite, Philadelphia, PA 19134-2328 2014-03-11
1851717110 Citywide Community Counseling Services Clinic/Center 537 E Allegheny Ave, Apt/suite, Philadelphia, PA 19134-2328 2014-03-11
1578989836 Citywide Community Counseling Services Clinic/Center 537 E Allegheny Ave, Apt/suite, Philadelphia, PA 19134-2328 2014-03-11

Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235738360 Hallie M. Kushner, Ph.d. P.C. Clinic/Center 1601 Walnut St Ste 706, Philadelphia, PA 19102-2904 2020-10-20
1114534328 Virtual Sofa, LLC Clinic/Center 2005 Market St Ste 3140, Philadelphia, PA 19103-7001 2020-09-30
1942819958 Shay Selden, Psyd, Med, LLC Clinic/Center 1411 S 15th St, Philadelphia, PA 19146-4803 2020-07-26
1104470665 Thibault Counseling LLC Clinic/Center 2049 North Street, Philadelphia, PA 19130 2019-08-01
1235781220 Annie Strout Counseling LLC Clinic/Center 1713 S Dorrance St, Philadelphia, PA 19145-2108 2019-07-10
1497170625 Citywide Community Counseling Services Clinic/Center 537 E. Allegheny Avenue, Apt/suite, Philadelphia, PA 19134 2014-02-25
1598189771 Citywide Community Counseling Services Clinic/Center 1346 Knorr St, Philadelphia, PA 19149 2014-02-10
1780008961 Citywide Community Counseling Services Clinic/Center 137 E. Allegheny Avenue, Philadelphia, PA 19134 2014-02-10
1356605455 Interamerican Behavioral Health Services, Inc. Clinic/Center 511 W Courtland St, Philadelphia, PA 19140-1404 2012-07-03
1417213323 Region Ten Commision On Mental Health Clinic/Center 1011 Posey Avenue, Philadelphia, MS 39350 2012-04-04
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Office Location

Street Address 5807 BUSTLETON AVENUE
City PHILADELPHIA
State PA
Zip Code 19149

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508418948 Double Care Inc Clinic/Center 2900-14 Cottman Ave, Philadelphia, PA 19149 2019-07-16
1710539457 Xiao Rong Li Adult Companion 2900 - 14 Cottman Avenue, Philadelphia, PA 19149 2019-07-12
1154982775 K Dental LLC Clinic/Center 6214 Bustleton Avenue, Philadelphia, PA 19149 2019-06-25
1851950430 Halo Staffing Agency, LLC Home Health 6401 Akron St., Philadelphia, PA 19149 2019-06-07
1518450626 Family First Home Healthcare LLC In Home Supportive Care 1405 Alcott St, Philadelphia, PA 19149 2018-06-13
1992106926 Elena Semprevivo Dentist 2107 Cottman Avenue, Philadelphia, PA 19149 2014-09-09
1518366988 Abundant Life Home Health Services Home Health 6632-46 Bustleton Ave, Philadelphia, PA 19149 2014-08-21
1598189771 Citywide Community Counseling Services Clinic/Center 1346 Knorr St, Philadelphia, PA 19149 2014-02-10
1790115509 Norman Huynh Physical Therapist 6595 B East Roosevelt Boulevard, Philadelphia, PA 19149 2013-11-14
1023440534 Kimberly A Mcdonnell Physical Therapist 6595 B East Roosevelt Blvd, Philadelphia, PA 19149 2013-08-07
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Competitor

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City PHILADELPHIA
Zip Code 19149

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Dataset Information

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.