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: August 16, 2026.

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

About Jacquelyn Anne Farasat Mc, Ncc, M.ed. NPPES

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

JACQUELYN ANNE FARASAT MC, NCC, M.ED. (NPI 1245756246) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC011506) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1245756246
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELYN ANNE FARASATCredential: MC, NCC, M.ED.
Location Address22 S 40TH ST STE 201BPhiladelphia, PA 19104-5827
Mailing Address22 S 40th St Ste 201bPhiladelphia, PA 19104-5827 · (617) 379-0496
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 21, 2017
Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
NPI 1245756246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in PA · PC011506 Licensed in NJ · 37PC00902700 Licensed in AL · LPC04190
22 S 40TH ST STE 201B, Philadelphia, PA 19104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacquelyn Anne Farasat Mc, Ncc, M.ed. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052760667
PECOS Enrollment IDI20231207003539, I20260506004255
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

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

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

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 Jacquelyn Farasat's NPI number?

The NPI number for Jacquelyn Farasat is 1245756246. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Jacquelyn Farasat located?

Jacquelyn Farasat practices at 22 S 40th St Ste 201B, Philadelphia, PA 19104. The listed phone number is (617) 379-0496.

What is Jacquelyn Farasat's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jacquelyn Farasat enrolled in Medicare?

Yes. Jacquelyn Farasat is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacquelyn Farasat accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Providence Health Plan list Jacquelyn Farasat as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacquelyn Farasat was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.