Individual provider Active NPI

Autumn T McBride, MSCP, LPC

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1063184000
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC013740 Issued in PA
Practice address
5840 Ellsworth Ave Ste 104
Pittsburgh, PA 15232-1727
Phone
(412) 628-1326
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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 PC013740 PA Primary

Addresses

Primary practice location

5840 Ellsworth Ave Ste 104
Pittsburgh, PA 15232-1727

Mailing address

635 Pittsburgh St FL 2
East MC Keesport, PA 15035-1363
Phone (412) 889-6836

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
I20250702002084 PA Practitioner - Mental Health Counselor 6709399629 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Apr 25, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Apr 25, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Current Accepting new patients

Locations

5840 Ellsworth Ave
Ste 104
Pittsburgh, PA 15232
Phone (412) 628-1326

560 Van Reed Rd
Ste 301
Wyomissing, PA 19610
Phone (610) 378-9601

Interoperability endpoints

  • Direct secure messaging: autumn.mcbride.1@28623.direct.athenahealth.com

Organizations & group practices 3

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1063184000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 PITTSBURGH ST FL 2",
            "city": "EAST MC KEESPORT",
            "state": "PA",
            "postal_code": "150351363",
            "telephone_number": "412-889-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 ELLSWORTH AVE STE 104",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321727",
            "telephone_number": "412-628-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "AUTUMN",
        "middle_name": "T",
        "credential": "MSCP, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.