Faith Detwiler, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC011242 Issued in PA

Practice address

125 Emeryville Dr Ste 230
Cranberry TWP, PA 16066-5020

Phone

(724) 609-5002

Fax

(724) 299-8964

NPI assigned

Apr 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Wellness Center IncGroup PAC ID 4789076761, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cornerstone Wellness Center Inc

  • Professional Counselor
  • Beaver, PA
  • NPI 1316513344
  Medicare reassignment Care Compare group NPD
• Cognitive Behavior Institute, LLC

  • Clinical Social Worker
  • Cranberry TWP, PA
  • NPI 1669884409
  NPD (past)
• Trotter Therapy Services, LLC

  • Physical Therapist
  • Bessemer, PA
  • NPI 1962914895
  NPD (past)

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1053974576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EMERYVILLE DR STE 230",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665020",
            "telephone_number": "724-609-5002",
            "fax_number": "724-299-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EMERYVILLE DR STE 230",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665020",
            "telephone_number": "724-609-5002",
            "fax_number": "724-299-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWILER",
        "first_name": "FAITH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff@papsychotherapy.org",
            "affiliation": "N",
            "endpointDescription": "HIPPA email",
            "address_1": "125 Emeryville Dr Ste 230",
            "city": "Cranberry Twp",
            "state": "PA",
            "country_code": "US",
            "postal_code": "160665020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dee Ann Demby, LPN
• Edward John Dengel, D.M.D.
• Chelsea Rae Deremer
• Mallory Destefano
• Lyubov Desyatnik, HEARING AID FITTER
• Developing Minds Behavioral Health, PLLC
• Kelly Dickson, CSCD, OTR/L
• Elizabeth Joan Dolan
• Christian Donnelly
• Rachael Dudash, PHARM D.

• Professional Counselor in Cranberry TWP, PA
• Providers in Cranberry TWP, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.