Individual provider Active NPI

Jonathan Paul Pishner, MA, LPC

  • Mental Health Counselor
  • Morgantown, WV
National Provider Identifier
1053732453
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2059 Issued in WV
Practice address
160 Fayette St
Morgantown, WV 26505-0188
Phone
(304) 685-4103
NPI assigned
Jan 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2059 WV Primary

Addresses

Primary practice location

160 Fayette St
Morgantown, WV 26505-0188

Mailing address

PO Box 434
Dellslow, WV 26531-0434
Phone (304) 228-5769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 16, 2024 through Jan 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2059WVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pishner Counseling LLC Past Accepting new patients

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": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1053732453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 434",
            "city": "DELLSLOW",
            "state": "WV",
            "postal_code": "265310434",
            "telephone_number": "304-228-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FAYETTE ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265050188",
            "telephone_number": "304-685-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISHNER",
        "first_name": "JONATHAN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-02",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "2059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.