Active NPI
Brent Farley Stover Jr.
- Mental Health Counselor
- Pittsburgh, PA
National Provider Identifier
1013582014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- Institute for Pain Medicine
5124 Liberty Ave
Pittsburgh, PA 15224 - Phone
- (412) 315-3810
- NPI assigned
- May 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
Institute for Pain Medicine
5124 Liberty Ave
Pittsburgh, PA 15224
Mailing address
629 Ciderberry Dr
Wexford, PA 15090-6831
Phone (304) 542-6730
Other names 1
- J.R. Stover
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brent.stover@ahn.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1013582014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 CIDERBERRY DR",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150906831",
"telephone_number": "304-542-6730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "INSTITUTE FOR PAIN MEDICINE",
"address_2": "5124 LIBERTY AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15224",
"telephone_number": "412-315-3810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVER",
"first_name": "BRENT",
"middle_name": "FARLEY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brent.stover@ahn.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "Institute for Pain Medicine",
"address_2": "5124 Liberty Ave",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "15224",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "J.R.",
"last_name": "STOVER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.