MEDICARE: PEOPLE UNITED FOR A COMMON CAUSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1508721168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLE UNITED FOR A COMMON CAUSE

Provider Business Mailing Address
First Line	:	2228 N 18TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19132-4313
Country	:	US
Telephone Number	:	267-278-8819
Fax Number	:

Provider Business Practice Location Address
First Line	:	2228 N 18TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19132-4313
Country	:	US
Telephone Number	:	267-278-8819
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR
Name	:	JAMILL JONES
Credential	:	LPC
Telephone Number	:	267-278-8819

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	01/17/2026

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