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Johanna Agnew

NPI 1063054484ActiveIndividual· Counselor, Professional· Philadelphia, PA

Counselor, Professional with Jefferson University Physicians, practicing in Philadelphia, Pennsylvania. Enrolled in Medicare as practitioner - mental health counselor.

Overview

NPI1063054484
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedOct 17, 2019
Last updated in NPPESOct 17, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Counselor, Professional Primary101YP2500XPC009917PA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Mental Health Counselor (PA)

Medicare sources and data years

Education and affiliations

Graduation year2013
Medicare specialtyMental Health Counselor
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

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