MEDICARE: JEFFREY HIMELSTEIN MS

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		PA

General Provider Information

NPI Number	:	1669339222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY HIMELSTEIN MS

Provider Business Mailing Address
First Line	:	834 CHESTNUT ST APT 1529
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5147
Country	:	US
Telephone Number	:	610-585-4858
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 W TOWNSHIP LINE RD STE 101
Second Line	:
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-4930
Country	:	US
Telephone Number	:	267-571-0383
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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