Provider Demographics
NPI:1881823383
Name:VERAS, FIOR (MS, LPC, BCPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:FIOR
Middle Name:
Last Name:VERAS
Suffix:
Gender:F
Credentials:MS, LPC, BCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1657 THE FAIRWAY
Mailing Address - Street 2:SUITE 125
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1423
Mailing Address - Country:US
Mailing Address - Phone:267-250-7709
Mailing Address - Fax:267-686-5964
Practice Address - Street 1:1657 THE FAIRWAY
Practice Address - Street 2:SUITE 125
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-1423
Practice Address - Country:US
Practice Address - Phone:267-250-7709
Practice Address - Fax:267-686-5964
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PAPC 003345101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA737600Medicaid
PAPC 003345OtherLPC LICENSE
PA002114047-001OtherHIGHMARK BC/BS
PA3018OtherMBH/TITLE 1 & 2
PA714059000OtherMAGELLAN HEALTH
PA1881923383OtherNPI
PA3018OtherFEDERAL
PA11576053OtherCAQH
PA232216800OtherMHS IBC
PA333138OtherMHNGS HEALTH NET INC.
PAMAZITTI & SULLIVANOtherEAP
PA714059000OtherMAGELLAN HEALTH