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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: October 18, 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, maintains 4 additional practice locations, 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
Phone(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
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11800 John F Kennedy Blvd Ste 1404Philadelphia, PA 19103-7417 · Phone (215) 398-6600
Location 21518 Walnut St Ste And208Philadelphia, PA 19102-3419 · Phone (215) 642-8968
Location 31015 Chestnut St Ste And1520Philadelphia, PA 19107-4331 · Phone (215) 544-2163
Location 47 LINCOLN HWY STE 224, STE 224Edison, NJ 08820-3965 · Phone (201) 820-0057 · Fax (617) 807-0958

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacquelyn Farasat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Counseling LLC
276 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • 138 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

HANNAH M IRWIN MS
Counselor (Professional)
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104
Philadelphia County (267) 440-7066
SARAH STEENBERGEN
Social Worker
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104
Philadelphia County (855) 675-4010
MR. MARK ANDREW BINGEL-MCKILLIPS
Social Worker (Clinical)
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104
Philadelphia County (415) 500-1279
ALEXANDRA MARIE FEBUS MARTINEZ
Counselor (Professional)
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104
Philadelphia County (855) 675-4010
NICOLE LYMAN LAPC, MED
Counselor (Professional)
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104
Philadelphia County (856) 223-7380
MARJETA KANE
Social Worker (Clinical)
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104
Philadelphia County (855) 675-4010
DENISHA LEANNE MORTON
Social Worker (Clinical)
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104
Philadelphia County (855) 284-7483
DANETT DEROSHA CANDELARIA
Social Worker (Clinical)
22 S 40TH ST STE 201B
PHILADELPHIA, PA 19104
Philadelphia County (855) 284-7483

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.

Which organization bills Medicare for Jacquelyn Farasat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Farasat reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn Farasat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacquelyn Farasat accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer 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 12 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.