Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Wataru Nishida, MS, NCC, LPC

Individual provider Professional Counselor · NPI 1194566141

Wataru Nishida, MS, NCC, LPC is a Professional Counselor in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2024.

Licensed in
PA
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
NCC — National Certified Counselor
A counsellor certified by the NBCC.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1700 Spring Garden St
Philadelphia, PA 19130-3936
Phone: (215) 751-8167
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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 PC014787 (PA)

Record details

NPI number1194566141
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , NCC , LPC
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

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