The Consortium, Inc. - Medicare Mental Health Clinic in Philadelphia, PA

The Consortium, Inc. is a medicare enrolled mental health clinic (Counselor) in Philadelphia, Pennsylvania. The current practice location for The Consortium, Inc. is 137 S 58th St, Philadelphia, Pennsylvania. For appointments, you can reach them via phone at (215) 596-8100. The mailing address for The Consortium, Inc. is 3751 Island Ave Ste 303, Philadelphia, Pennsylvania and phone number is (215) 596-8100.

The Consortium, Inc. is licensed to practice in Pennsylvania (license number ). The clinic also participates in the medicare program and its NPI number is 1194757989. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (215) 596-8100.

Contact Information

The Consortium, Inc.
137 S 58th St
Philadelphia
PA 19139
(215) 596-8100
(215) 382-0511

Map and Direction


Mental Health Clinic Profile

Full NameThe Consortium, Inc.
SpecialityCounselor
Location137 S 58th St, Philadelphia, Pennsylvania
Authorized Official Name and PositionJohn F White (PRESIDENT/CEO)
Authorized Official Contact2155968100
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
The Consortium, Inc.
3751 Island Ave Ste 303
Philadelphia
PA 19153-3237

Ph: (215) 596-8100
The Consortium, Inc.
137 S 58th St
Philadelphia
PA 19139

Ph: (215) 596-8100

NPI Details:

NPI Number1194757989
Provider Enumeration Date07/06/2006
Last Update Date08/02/2024
Certification Date08/02/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9638072580
Medicare Enrollment IDO20040129000191

Medical Identifiers

Medical identifiers for The Consortium, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194757989NPI-NPPES
100715523 0001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (Pennsylvania)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) (Pennsylvania)Secondary
101YM0800XCounselor - Mental Health (Pennsylvania)Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
251B00000XCase Management (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Secondary
261QM0855XClinic/center - Adolescent And Children Mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. The Consortium, Inc. acts as a billing entity for following providers:
Provider NameAlice G Chang
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1811044373
PECOS PAC ID: 6507889961
Enrollment ID: I20060111000932
Provider NameChinyere Ndubizu Achi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164533469
PECOS PAC ID: 2163493560
Enrollment ID: I20061221000041
Provider NameKavita Bharwani
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1295869329
PECOS PAC ID: 1254221575
Enrollment ID: I20080821000485
Provider NameKathleen A K Kline
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1831286988
PECOS PAC ID: 1052219748
Enrollment ID: I20100917000037
Provider NameMichele L Chubb
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902919632
PECOS PAC ID: 4981896446
Enrollment ID: I20101004000370
Provider NameWalter E Bantom
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194741710
PECOS PAC ID: 3779771407
Enrollment ID: I20101222000689
Provider NameCourtney Baker
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1790979490
PECOS PAC ID: 9133398506
Enrollment ID: I20110802000237
Provider NameBernard Amiel Harris
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1619081726
PECOS PAC ID: 0345419156
Enrollment ID: I20110812000317
Provider NameSarah E Johnson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1790945848
PECOS PAC ID: 2567620339
Enrollment ID: I20120224000331
Provider NamePaul M Schaefer
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1942460878
PECOS PAC ID: 9537324348
Enrollment ID: I20120629000008
Provider NameCynthia J Corbin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043629868
PECOS PAC ID: 6002131695
Enrollment ID: I20150202000586
Provider NameCarter Cloyd
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1073702536
PECOS PAC ID: 3870819337
Enrollment ID: I20150302000089
Provider NameMichael Dean Kaltenbach
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972770758
PECOS PAC ID: 9537485966
Enrollment ID: I20150303000748
Provider NameRena D Linden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265081780
PECOS PAC ID: 6103250626
Enrollment ID: I20191216002177
Provider NameFitz Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972142669
PECOS PAC ID: 4486084167
Enrollment ID: I20200421000331
Provider NameSusan Charlotte Poole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740821222
PECOS PAC ID: 3476963950
Enrollment ID: I20201112001190
Provider NameDiana Cozma
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1578860672
PECOS PAC ID: 4284032376
Enrollment ID: I20211004001835
Provider NameValerie Margaret King Ernst
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1952311565
PECOS PAC ID: 6305840158
Enrollment ID: I20220309000817
Provider NameAndrew Hogrogian
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1609360684
PECOS PAC ID: 6103172374
Enrollment ID: I20220804002279
Provider NameBrooke Marie Beehler
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1093008559
PECOS PAC ID: 4385950054
Enrollment ID: I20220922001887
Provider NameSharon Lawerence Harper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093856882
PECOS PAC ID: 6103724653
Enrollment ID: I20240210000182

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.