Individual provider Active NPI

Katherine Rose Whittam, MS, NCC

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1083322002
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
5301 Butler St Ste 100
Pittsburgh, PA 15201-2658
Phone
(412) 407-3116
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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 Primary

Addresses

Primary practice location

5301 Butler St Ste 100
Pittsburgh, PA 15201-2658

Mailing address

5301 Butler St Ste 100
Pittsburgh, PA 15201-2658
Phone (412) 407-3116

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
I20250410001520 PA Practitioner - Mental Health Counselor 4688198781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Persad Center, IncGroup PAC ID 4183521065, 12 clinicians

Practice addresses (Care Compare)

5301 Butler St
Suite 100
Pittsburgh, PA 15201-2658
Phone (412) 441-9786

59 E Strawberry Ave
Washington, PA 15301-4901
Phone (412) 441-9786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1083322002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 BUTLER ST STE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152012658",
            "telephone_number": "412-407-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BUTLER ST STE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152012658",
            "telephone_number": "412-407-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAM",
        "first_name": "KATHERINE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.