COMMUNITY COUNCIL FOR MENTAL HEALTH & MENTAL RETARDATION INC
NPI 1093849986
Community/Behavioral Health in Philadelphia, PA

Q: What is Community Council For Mental Health & Mental Retardation Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since March 15, 2007

4900 WYALUSING AVE, PHILADELPHIA, PA 19131(215) 473-7033(215) 827-5276 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2026, Aug 20, 2024 (2 updates tracked since 2024).

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About Community Council For Mental Health & Mental Retardation Inc NPPES

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

COMMUNITY COUNCIL FOR MENTAL HEALTH & MENTAL RETARDATION INC (NPI 1093849986) is a healthcare organization registered as a community/behavioral health in Philadelphia, Pennsylvania and active in the NPI registry since March 2007. The organization lists Rekiya Bell, Director Of Billing/credentialing, as its authorized official.

NPPES Registry Identity

NPI1093849986

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCOMMUNITY COUNCIL FOR MENTAL HEALTH & MENTAL RETARDATION INC

Location Address4900 WYALUSING AVEPhiladelphia, PA 19131-5127

Mailing Address4900 Wyalusing AvePhiladelphia, PA 19131-5127 · (267) 979-4290 · Fax (215) 827-5276

Phone(215) 473-7033

Fax(215) 827-5276

Organization SubpartNo

Authorized OfficialRekiya BellDirector Of Billing/credentialing · (215) 921-3713

Enumeration DateMarch 15, 2007

Last NPPES UpdateMay 11, 20262 updates tracked since enumeration

NPPES CertifiedMay 11, 2026

✔ NPI 1093849986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in PA · 121630

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

4900 WYALUSING AVE, Philadelphia, PA 19131

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Other Identifiers 2

Medicaid1000049600021PA

Medicaid1000049600012PA

Other Providers at the Same Location NPPES 20

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

LORRAINE BRAXTON

Counselor (Mental Health)