Individual provider Active NPI

Jennifer Rae Gismondi, LPC

  • Professional Counselor
  • Greensburg, PA
National Provider Identifier
1043681364
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
766 East Pittsburgh St.
Suite 101
Greensburg, PA 15601
Phone
(412) 246-8965
Fax
(724) 219-3697
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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 PA Primary

Addresses

Primary practice location

766 East Pittsburgh St.
Suite 101
Greensburg, PA 15601

Mailing address

134 State St.
Belle Vernon, PA 15012
Phone (724) 986-9886

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
I20240313003925 PA Practitioner - Mental Health Counselor 7517262603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western PA Behavioral Health ResourcesGroup PAC ID 4183772858, 21 clinicians

Practice addresses (Care Compare)

111 Roberts Rd
Suite 150
Grindstone, PA 15442-2104
Phone (724) 785-4346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western PA Behavioral Health Resources LLC CurrentSince Feb 10, 2024 Accepting new patients

Locations

111 Roberts Rd
Ste 150
Grindstone, PA 15442
Phone (724) 785-4346

707 Ligonier St
Latrobe, PA 15650
Phone (724) 537-9515

5301 Grove Rd
Ste M123
Pittsburgh, PA 15236
Phone (412) 677-9100

Organizations & group practices 1

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": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1043681364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 STATE ST.",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "15012",
            "telephone_number": "724-986-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 EAST PITTSBURGH ST.",
            "address_2": "SUITE 101",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "412-246-8965",
            "fax_number": "724-219-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISMONDI",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.