Jacquelyn Anne Farasat, MC, NCC, M.ED.
Mental Health Counselor (CMS) · Philadelphia, PA
At a glance
22 S 40Th St Ste 201B, Philadelphia, PA 19104-5827
NPPES record updated Sep 30, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
22 S 40Th St Ste 201BPhiladelphia, PA 19104-5827
Additional reported practice locations
1800 John F Kennedy Blvd Ste 1404Philadelphia, PA 191037417
Phone: 2153986600 1518 Walnut St Ste And208
Philadelphia, PA 191023419
Phone: 2156428968 1015 Chestnut St Ste And1520
Philadelphia, PA 191074331
Phone: 2155442163 7 Lincoln Hwy Ste 224
Ste 224
Edison, NJ 088203965
Phone: 2018200057
Fax: 6178070958
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2016
- CMS specialties
- Mental Health Counselor
Practice groups
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Mental Health Counselor (CMS)
- Taxonomy code
- 101YP2500X
- Enumeration date
- Aug 21, 2017
- Record updated
- Sep 30, 2025
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- MC, NCC, M.ED.
Reported taxonomies and licenses
101YP2500X
License reported: 37PC00902700 NJ
101YP2500X · Primary
License reported: PC011506 PA
101YP2500X
License reported: LPC04190 AL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
22 S 40Th St Ste 201BPhiladelphia, PA 19104-5827
- Phone
- (617) 379-0496
Mailing address
22 S 40TH ST STE 201BPHILADELPHIA, PA 191045827
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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