JACQUELYN ANNE FARASAT MC, NCC, M.ED.
NPI 1245756246
Counselor - Professional in Philadelphia, PA

Active since August 21, 2017PECOS EnrolledAccepts Medicare Assignment
22 S 40TH ST STE 201B, PHILADELPHIA, PA 19104(617) 379-0496 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 21, 2017 (2 updates tracked since 2017).

  • Individual
  • Female
  • Years of Experience 11
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JACQUELYN FARASAT

This page provides the complete NPI Profile along with additional information for Jacquelyn Farasat, a provider established in Philadelphia, Pennsylvania with a medical specialization in Counselor, focusing in professional and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1245756246 assigned on August 2017. The practitioner's primary taxonomy code is 101YP2500X with license number PC011506 (PA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1245756246 Verify this NPI
Provider Name
JACQUELYN ANNE FARASAT MC, NCC, M.ED.
Gender
Female
Entity Type
Individual
Location Address
22 S 40TH ST STE 201B PHILADELPHIA, PA 19104
Location Phone
(617) 379-0496
Mailing Address
22 S 40TH ST STE 201B PHILADELPHIA, PA 19104
Mailing Phone
(617) 379-0496
Medical School Name
OTHER
Graduation Year
2016
Is Sole Proprietor?
No
Enumeration Date
08-21-2017
Last Update Date
09-30-2025
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Location Map

Secondary Locations

  • 1518 Walnut St Ste And208
    Philadelphia, PA 19102
    (215) 642-8968
  • 1015 Chestnut St Ste And1520
    Philadelphia, PA 19107
    (215) 544-2163
  • 7 LINCOLN HWY STE 224 STE 224
    Edison, NJ 08820
    (201) 820-0057
  • 1800 John F Kennedy Blvd Ste 1404
    Philadelphia, PA 19103
    (215) 398-6600

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
PC011506
License State
PA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

37PC00902700 (NJ)
2101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

LPC04190 (AL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jacquelyn Farasat is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jacquelyn Farasat is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1052760667

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231207003539, I20260506004255

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for JACQUELYN ANNE FARASAT MC, NCC, M.ED.

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Social Worker (Clinical)
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104
Social Worker (Clinical)
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104
Counselor (Mental Health)
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104
Social Worker
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104
Counselor (Professional)
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104
Counselor (Professional)
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104
Social Worker (Clinical)
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104
Counselor (Professional)
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104
Social Worker (Clinical)
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245756246, enumerated as an "individual" on August 21, 2017.

The provider is located at 22 S 40TH ST STE 201B PHILADELPHIA, PA 19104 and the phone number is (617) 379-0496.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.