TIMOTHY JON WRAGG
Counselor (Professional)

Address: 123 S Broad St, Philadelphia, PA 19109-1029

TIMOTHY JON WRAGG (NPI# 1093309304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093309304
Entity Type Individual
Full Name MR. TIMOTHY JON WRAGG
Gender Male
Credential LPC, NCC
Practice Address 123 S Broad St
Philadelphia
PA 19109-1029
Practice Telephone 2674574782
Mailing Address 4329 Baltimore Ave
Philadelphia
PA 19104-4413
Mailing Telephone 2154509124
Certification Date 2021-02-26
Enumeration Date 2021-02-26
Last Update Date 2021-02-26
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
193200000X MULTI-SPECIALTY GROUP PC013032 PA Behavioral Health & Social Service Providers

Provider Secondary Practice Locations

Address Telephone Number Fax Number
4329 Baltimore Ave, Philadelphia, PA 191044413 2674574782

Office Location

Street Address 123 S BROAD ST
City PHILADELPHIA
State PA
Zip Code 19109-1029

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104462787 Helson Joseph Meirino Social Worker · Clinical 123 S Broad St, Philadelphia, PA 19109-1029 2019-11-19
1881090751 Adrian Chiu Psychologist 123 S Broad St, Ste 1948, Philadelphia, PA 19109-1029 2014-11-05
1760825160 Marjorie Nolan Cohn LLC Dietitian, Registered 123 S Broad St, Suite 1641, Philadelphia, PA 19109-1029 2013-04-16
1417295817 Jamie Lester Massage Therapist 123 S Broad St, Suite 1833, Philadelphia, PA 19109-1029 2013-01-21
1720347040 Twins With Care Home Health, LLC Home Health 123 S Broad St, Ste 227, Lancaster, OH 43130-4304 2012-05-07
1215189923 Marjorie Nolan Cohn · Marjorie E Nolan Dietitian, Registered 123 S Broad St, Suite 1641, Philadelphia, PA 19109-1029 2008-10-14
1003947094 Dawn Louise Mccoy Counselor · Mental Health 123 S Broad St, Lancaster, OH 43130-4304 2007-03-08
1306907092 Faith Based Counseling Counselor · Mental Health 123 S Broad St, Suite 234, Lancaster, OH 43130 2006-12-13
1083705271 Bonnie Lee Daniels Social Worker 123 S Broad St, Suite 234, Lancaster, OH 43130 2006-09-27
1700826765 David George Psychologist 123 S Broad St, Ste 234, Lancaster, OH 43130 2006-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437512415 Leah May Roberts Student in an Organized Health Care Education/Training Program S Broad St, 7th Floor, Zone B, Philadelphia, PA 19109-1029 2016-03-29
1376847988 Toni Diahann Randolph Counselor · Mental Health S Broad St, Philadelphia, PA 19109-1029 2010-12-23
1457655060 Marie Odile Papalia Counselor · Mental Health S Broad St, Philadelphia, PA 19109-1029 2010-12-23
1902100514 Andrew Roy Best Jr. Counselor · Mental Health S Broad St, Philadelphia, PA 19109-1029 2010-12-23
1881857969 Ian Carlo Arnau Casimiro Internal Medicine S Broad St, Philadelphia, PA 19109-1029 2008-07-08

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1609015056 Katie Woo Castelo Nurse Practitioner · Pediatrics 34th St and Civic Center Blvd, Philadelphia, PA 19109 2009-02-09

Providers in the same city

NPI Name Taxonomy Address Enumeration
1558956920 Joseph Thomas Home Health Aide 1923 Briggs St, Philadelphia, PA 19124-4620 2021-03-07
1770178139 Polly Pillen Counselor · Professional 1221 Locust St Fl 2, Philadelphia, PA 19107-5572 2021-03-07
1093300477 Shujie Yan Dentist · General Practice 240 S 40th St, Philadelphia, PA 19104-6030 2021-03-07
1780279158 Cally Richardson Student in an Organized Health Care Education/Training Program 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-07
1124613658 Henry Khov Physical Therapist 1526 Lombard St, Philadelphia, PA 19146-1625 2021-03-06
1134714751 Liberty In-Home Health Care LLC In Home Supportive Care 1700 Market St Ste 1005, Philadelphia, PA 19103-3920 2021-03-05
1649865163 Raha Mozaffari Dmd LLC · Fishtown Dentistry Clinic/Center · Dental 244 E Girard Ave, Philadelphia, PA 19125-3929 2021-03-05
1679168280 Sarah Catherine Bakke Nurse Practitioner · Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2021-03-05
1730774365 Veronica Kim-Quy Pham Student in an Organized Health Care Education/Training Program 4170 City Ave, Philadelphia, PA 19131-1610 2021-03-05
1952996506 The Children's Tooth Spa P.C. Clinic/Center · Dental 801 N 2nd St, Philadelphia, PA 19123-3090 2021-03-05
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770178139 Polly Pillen 1221 Locust St Fl 2, Philadelphia, PA 19107-5572 2021-03-07
1649865304 Tiffany Renee Chenery 8215 Buist Ave, Philadelphia, PA 19153-1002 2021-03-04
1962097766 Caroline Rachel Kuttler 2556 Frankford Avenue, Philadelphia, PA 19125-1912 2021-03-03
1932793627 Birthstone Trauma Healing, LLC 1500 Walnut St Ste 603, Philadelphia, PA 19102-3516 2021-02-24
1134712243 Thais Colleen Farrell 1080 N Delaware Ave Ste 600, Philadelphia, PA 19125-4339 2021-02-19
1447843867 Haley Caroline Halkyer 2137 E Huntingdon St # 506, Philadelphia, PA 19125-1466 2021-02-17
1508459363 Kristle J Small Counseling Group 5223 W Berks St Apt B, Philadelphia, PA 19131-3206 2021-02-12
1275123796 Sabina Dominga Williamson 201 S. 18th Street, Suite 204, Philadelphia, PA 19103 2021-01-19
1528657129 Kathryn Lodwick 1516 N 5th St, Suite 401, Philadelphia, PA 19122 2021-01-18
1346838919 Christopher Ryan Torchia 5491 Vicaris St, Philadelphia, PA 19128-2826 2021-01-08
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Competitor

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City PHILADELPHIA
Zip Code 19109

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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.