Individual provider Active NPI

Tammy Lynne Rink, NCC, LPC

  • Professional Counselor
  • Moon Township, PA
National Provider Identifier
1063924520
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009922 Issued in PA
Practice address
1555 Brodhead Rd
Moon Township, PA 15108
Phone
(412) 329-8787
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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 PC009922 PA Primary

Addresses

Primary practice location

1555 Brodhead Rd
Moon Township, PA 15108

Mailing address

1555 Brodhead Rd
Moon Township, PA 15108-3869
Phone (412) 329-8787

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
I20240611001442 PA Practitioner - Mental Health Counselor 8224420211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
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)

265 3Rd St
FL 2
Beaver, PA 15009-2350
Phone (724) 371-0177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Wellness Center Inc Professional CurrentSince May 21, 2021 Accepting new patients
Trotter Therapy Services, LLC PastSince Apr 29, 2024 Accepting new patients

Locations

265 3rd St
#2
Beaver, PA 15009
Phone (724) 371-0177

1000 Cliffmine Rd
Ste 130
Pittsburgh, PA 15275
Phone (412) 925-2910

Organizations & group practices 2

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": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1063924520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BRODHEAD RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151083869",
            "telephone_number": "412-329-8787",
            "fax_number": "724-457-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BRODHEAD RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "15108",
            "telephone_number": "412-329-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINK",
        "first_name": "TAMMY",
        "middle_name": "LYNNE",
        "credential": "NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

Verify at the official NPI Registry.