CMS-1500 Box 24J / 33a • NPI
1336617992
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
221700000X
Licensed & Credentialed Art Therapist
Box 32 Service Location & ZIP+4
100 CROZERVILLE RD, ASTON, PA, 19014-1444
✓ 9-Digit EDI 837 ZIP+4 (19014-1444)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1336617992 (ARISA CHAN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1336617992 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ARISA CHAN |
| Plain-English Specialty | Licensed & Credentialed Art Therapist NUCC Code: 221700000X (Art Therapist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 100 CROZERVILLE RD, ASTON, PA, 19014-1444 |
| Practice Telephone / Fax | Tel: (610) 938-9000 |
| Administrative Mailing Address | 331 N 40TH ST APT 3A, PHILADELPHIA, PA, 19104-4613 |
| Enumeration & Last Sync | Enumerated: 2018-11-12 | CMS Record Updated: 2018-11-12 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (221700000X)
What Does Taxonomy Code 221700000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 221700000X translates to:
"Licensed & Credentialed Art Therapist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ARISA CHAN)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
221700000X — Art TherapistPlain English: Licensed & Credentialed Art Therapist | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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