NPIMap

Organization Active NPI

Gesund Health LLC - MH Pittsburgh Management, a Protected Series

Doing business as Ellie Mental Health Pittsburgh Management

  • Mental Health Counselor
  • Wexford, PA
National Provider Identifier
1063101145
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GESUND HEALTH LLC - MH PITTSBURGH MANAGEMENT, A PROTECTED SERIES
Doing business as
Ellie Mental Health Pittsburgh Management
Practice address
4001 Stonewood Dr Ste 110
Wexford, PA 15090-8398
Phone
(724) 747-1690
NPI assigned
May 3, 2023
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Ryan Leckie
Title
Owner
Phone
(724) 747-1690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

4001 Stonewood Dr Ste 110
Wexford, PA 15090-8398

Mailing address

3725 Butler St Apt 306
Pittsburgh, PA 15201-1895
Phone (724) 747-1690

Other names 1

  • Ellie Mental Health Pittsburgh Management Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231026000758 PA Part B Supplier - Clinic/Group Practice 6002262128 Receives reassigned benefits from 12 practitioners
Practice locations: Wexford, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1063101145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 BUTLER ST APT 306",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152011895",
            "telephone_number": "724-747-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 STONEWOOD DR STE 110",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908398",
            "telephone_number": "724-747-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GESUND HEALTH LLC - MH PITTSBURGH MANAGEMENT, A PROTECTED SERIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "LECKIE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-747-1690"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health Pittsburgh Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health Pittsburgh Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.