Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacquelyn Anne Farasat, MC, NCC, MED

Individual provider Professional Counselor · NPI 1245756246

Jacquelyn Anne Farasat, MC, NCC, MED is a Mental Health Counselor in Philadelphia, Pennsylvania. Qualified in 2016, 10 years ago. Practices with Thrive Counseling LLC, a 1,188-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Alabama, New Jersey and Pennsylvania.

Years since qualifying
10
Licensed in
AL, NJ, PA
In the registry since
2017
Specialties on file
3
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

22 S 40th St Ste 201B
Philadelphia, PA 19104-5827
Phone: (617) 379-0496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 7 Lincoln Hwy Ste 224, Edison, NJ 08820-3965 — (201) 820-0057
  • 1518 Walnut St Ste And208, Philadelphia, PA 19102-3419 — (215) 642-8968
  • 1800 John F Kennedy Blvd Ste 1404, Philadelphia, PA 19103-7417 — (215) 398-6600
  • 1015 Chestnut St Ste And1520, Philadelphia, PA 19107-4331 — (215) 544-2163

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC011506 (PA)
Professional Counselor Taxonomy 101YP2500X · Licence 37PC00902700 (NJ)
Professional Counselor Taxonomy 101YP2500X · Licence LPC04190 (AL)

Record details

NPI number1245756246
Entity typeIndividual (Type 1)
GenderFemale
Credentials MC , NCC , MED
Sole proprietorNo
NPI enumeratedAugust 21, 2017
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Thrive Counseling Llc — 1188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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