BALLY RADATTI GERZAN LPC
NPI 1861125593
Counselor - Mental Health in Philadelphia, PA

Q: What is Bally Gerzan's NPI number?

The NPI number for Bally Gerzan is 1861125593. It was assigned to this individual provider in the NPPES registry on July 9, 2022.

Q: What is Bally Gerzan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Bally Gerzan was last updated on May 26, 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.

Active since July 09, 2022

1819 JOHN F KENNEDY BLVD STE 302, PHILADELPHIA, PA 19103(610) 265-3400 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 26, 2026, Jul 9, 2022 (2 updates tracked since 2022).

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About Bally Radatti Gerzan Lpc NPPES

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

BALLY RADATTI GERZAN LPC (NPI 1861125593) is an individual mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC014209) and active in the NPI registry since July 2022. She maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1861125593

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameBALLY RADATTI GERZANCredential: LPC

Location Address1819 JOHN F KENNEDY BLVD STE 302Philadelphia, PA 19103-1729

Mailing Address810 S Front StPhiladelphia, PA 19147-4308 · (215) 859-8500

Phone(610) 265-3400

Sole ProprietorNo

Enumeration DateJuly 9, 2022

Last NPPES UpdateMay 26, 20262 updates tracked since enumeration

NPPES CertifiedMay 26, 2026

✔ NPI 1861125593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in PA · PC014209

1819 JOHN F KENNEDY BLVD STE 302, Philadelphia, PA 19103

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Secondary Practice Location 1

Location 1627 S 2nd StPhiladelphia, PA 19147-2410 · Phone (215) 839-9113

Other Providers at the Same Location NPPES

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

NICOLLETTE ROSE AIRHART LCSW

Social Worker (Clinical)

1819 JOHN F KENNEDY BLVD STE 302
PHILADELPHIA, PA 19103

Philadelphia County (330) 495-8763

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 Bally Gerzan's NPI number?

The NPI number for Bally Gerzan is 1861125593. It was assigned to this individual provider in the NPPES registry on July 9, 2022.

Where is Bally Gerzan located?

Bally Gerzan practices at 1819 John F Kennedy Blvd Ste 302, Philadelphia, PA 19103. The listed phone number is (610) 265-3400.

What is Bally Gerzan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Bally Gerzan was last updated on May 26, 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.