WATARU NISHIDA MS, NCC, LPC
NPI 1194566141
Counselor - Professional in Philadelphia, PA
Active since June 04, 2024
About Wataru Nishida Ms, Ncc, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WATARU NISHIDA MS, NCC, LPC (NPI 1194566141) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC014787) and active in the NPI registry since June 2024.
NPPES Registry Identity
NPI1194566141
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameWATARU NISHIDACredential: MS, NCC, LPC
Location Address1700 SPRING GARDEN STPhiladelphia, PA 19130-3936
Mailing Address1700 Spring Garden StPhiladelphia, PA 19130-3936 · (215) 751-8167
Phone(215) 751-8167
Sole ProprietorNo
Enumeration DateJune 4, 2024
NPPES CertifiedJune 4, 2024
✔ NPI 1194566141 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC014787
1700 SPRING GARDEN ST, Philadelphia, PA 19130
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Mental Health)
1700 SPRING GARDEN ST
PHILADELPHIA, PA 19130
PHILADELPHIA, PA 19130
Social Worker (Clinical)
1700 SPRING GARDEN ST
PHILADELPHIA, PA 19130
PHILADELPHIA, PA 19130
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194566141, enumerated as an "individual" on June 04, 2024.
The provider is located at 1700 SPRING GARDEN ST PHILADELPHIA, PA 19130 and the phone number is (215) 751-8167.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
