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MISS MARY ELIZABETH TIMOTHY LPC
NPI 1063706455
Counselor - Mental Health in Philadelphia, PA

Active since June 03, 2011
3905 FORD RD STE 6, PHILADELPHIA, PA 19131(215) 878-3400(215) 878-2082 Get Directions Write a Review

NPPES record last updated: June 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Mary Elizabeth Timothy Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS MARY ELIZABETH TIMOTHY LPC (NPI 1063706455) is an individual mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (23-1728027) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1063706455
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS MARY ELIZABETH TIMOTHYCredential: LPC
Location Address3905 FORD RD STE 6Philadelphia, PA 19131-2824
Mailing Address3905 Ford Rd Ste 6Philadelphia, PA 19131-2824 · (215) 878-3400 · Fax (215) 878-2082
Phone(215) 878-3400
Fax(215) 878-2082
Sole ProprietorYes
Enumeration DateJune 3, 2011
✔ NPI 1063706455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in PA · 23-1728027
3905 FORD RD STE 6, Philadelphia, PA 19131
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Other Identifiers 1

Medicaid1007283430002PA

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. HEATHER ALTERS LCSW
Social Worker (Clinical)
3905 FORD RD STE 6
PHILADELPHIA, PA 19131
Philadelphia County (215) 878-3400
JULIE LADERBERG LCSW
Social Worker (Clinical)
3905 FORD RD STE 6
PHILADELPHIA, PA 19131
Philadelphia County (215) 878-3400
KRISTEN WATKINS LPC
Counselor (Professional)
3905 FORD RD STE 6
PHILADELPHIA, PA 19131
Philadelphia County (215) 878-3400
THE CENTER FOR AUTISM
Counselor (Mental Health)
3905 FORD RD STE 6
PHILADELPHIA, PA 19131
Philadelphia County (215) 878-3400
MISS MELI'SA DANIELLE GRIER LPC
Counselor (Professional)
3905 FORD RD STE 6
PHILADELPHIA, PA 19131
Philadelphia County (215) 878-3400
PAMELA ZARANKA MOORE
Counselor (Professional)
3905 FORD RD STE 6
PHILADELPHIA, PA 19131
Philadelphia County (215) 878-3400
LISETTE SANCHEZ LCSW
Social Worker (Clinical)
3905 FORD RD STE 6
PHILADELPHIA, PA 19131
Philadelphia County (215) 878-3400
JILLIAN NAOMI SHPRECHER MSW, LSW
Social Worker
3905 FORD RD STE 6
PHILADELPHIA, PA 19131
Philadelphia County (215) 878-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Timothy's NPI number?

The NPI number for Mary Timothy is 1063706455. It was assigned to this individual provider in the NPPES registry on June 3, 2011.

Where is Mary Timothy located?

Mary Timothy practices at 3905 Ford Rd Ste 6, Philadelphia, PA 19131. The listed phone number is (215) 878-3400.

What is Mary Timothy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mary Timothy was last updated on June 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.