JESSICA BRIDDELL-HASBEN
NPI 1821605809
Counselor - Professional in Philadelphia, PA

Active since September 24, 2020PECOS Enrolled
417 W ELLET ST, PHILADELPHIA, PA 19119(484) 215-7102 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2026, Sep 24, 2020 (2 updates tracked since 2020).

About Jessica Briddell-hasben NPPES

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

JESSICA BRIDDELL-HASBEN (NPI 1821605809) is an individual professional provider in Philadelphia, Pennsylvania and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2018).

NPPES Registry Identity

NPI1821605809
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA BRIDDELL-HASBEN
Location Address417 W ELLET STPhiladelphia, PA 19119-3016
Mailing Address417 W Ellet StPhiladelphia, PA 19119-3016
Sole ProprietorYes
Medical School CMSPennsylvania State University College Of MedicineGraduated 2018
Enumeration DateSeptember 24, 2020
Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1821605809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
417 W ELLET ST, Philadelphia, PA 19119

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Briddell-hasben is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880176080
PECOS Enrollment IDI20260306000156
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 Jessica Briddell-hasben reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Counselor
417 W ELLET ST
Philadelphia, PA 19119
  • Reassigned Medicare billing, Pennsylvania enrollment

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

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

Counselor
417 W ELLET ST
PHILADELPHIA, PA 19119

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 Jessica Briddell-hasben's NPI number?

The NPI number for Jessica Briddell-hasben is 1821605809. It was assigned to this individual provider in the NPPES registry on September 24, 2020.

Where is Jessica Briddell-hasben located?

Jessica Briddell-hasben practices at 417 W Ellet St, Philadelphia, PA 19119. The listed phone number is (484) 215-7102.

What is Jessica Briddell-hasben's specialty?

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

Is Jessica Briddell-hasben enrolled in Medicare?

Yes. Jessica Briddell-hasben is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Briddell-hasben's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Briddell-hasben reassigns Medicare benefits to Level Liv LLC (Philadelphia, PA). 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 Jessica Briddell-hasben's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Briddell-hasben accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jessica Briddell-hasben 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 Jessica Briddell-hasben was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.