Individual provider Active NPI

Ann Mikulich

  • Professional Counselor
  • Beaver, PA
National Provider Identifier
1023277522
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005705 Issued in PA
Practice address
1607 3Rd St
Suite A101
Beaver, PA 15009-2420
Phone
(724) 728-8400
NPI assigned
Jun 9, 2008
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005705 PA Primary

Addresses

Primary practice location

1607 3Rd St
Suite A101
Beaver, PA 15009-2420

Mailing address

105 Mary Reed Rd
Suite A101
Baden, PA 15005-9612

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ann.m.mikulich@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260603003971 PA Practitioner - Mental Health Counselor 1759852486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Directions Mental Health, PCGroup PAC ID 0345228318, 153 clinicians

Practice addresses (Care Compare)

7000 Stonewood Dr
Suite 300
Wexford, PA 15090-8326
Phone (724) 374-3468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC005705PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Community Pediatrics Past Accepting new patients
Children's Community Care Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ann.m.mikulich@upmcdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1023277522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MARY REED RD",
            "address_2": "SUITE A101",
            "city": "BADEN",
            "state": "PA",
            "postal_code": "150059612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 3RD ST",
            "address_2": "SUITE A101",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092420",
            "telephone_number": "724-728-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULICH",
        "first_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ann.m.mikulich@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.