Individual provider Active NPI

Stephen Fredrick Sedmak

  • Professional Counselor
  • Sharon, PA
National Provider Identifier
1023871183
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC016924 Issued in PA
Practice address
63 Pitt St
Sharon, PA 16146-2102
Phone
(724) 704-7272
Fax
(724) 981-9350
NPI assigned
Feb 1, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC016924 PA
Professional Counselor 101YP2500X PC016924 PA Primary

Addresses

Primary practice location

63 Pitt St
Sharon, PA 16146-2102

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (724) 588-5250

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
I20240404003525 PA Practitioner - Mental Health Counselor 1759729007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health NetworkGroup PAC ID 9234046228, 64 clinicians

Practice addresses (Care Compare)

63 Pitt St
Sharon, PA 16146-2102
Phone (724) 342-6604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC016924PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince May 1, 2024 Accepting new patients
Primary Health Network CurrentSince May 1, 2024 Accepting new patients

Locations

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1023871183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "724-588-5250",
            "fax_number": "724-588-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PITT ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462102",
            "telephone_number": "724-704-7272",
            "fax_number": "724-981-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDMAK",
        "first_name": "STEPHEN",
        "middle_name": "FREDRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC016924",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, PA

Sources for this page

Verify at the official NPI Registry.