Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela Kodokian, LPC, MT-BC

Individual provider Professional Counselor · NPI 1407728835

Angela Kodokian, LPC, MT-BC is a Mental Health Counselor in Philadelphia, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Delaware County Professional Services, Inc, a 275-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1500 Walnut St Ste 601
Philadelphia, PA 19102-3516
Phone: (888) 928-2755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC018428 (PA)

Record details

NPI number1407728835
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , MT-BC
Sole proprietorNo
NPI enumeratedSeptember 23, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Delaware County Professional Services, Inc — 275 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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