Individual provider Active NPI

Julia E Metelsky, APC

  • Mental Health Counselor
  • Wexford, PA
National Provider Identifier
1083452619
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC000198 Issued in PA
Practice address
101 Bradford Rd Ste 330
Wexford, PA 15090-6938
Phone
(724) 777-1433
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC000198 PA Primary

Addresses

Primary practice location

101 Bradford Rd Ste 330
Wexford, PA 15090-6938

Mailing address

101 Bradford Rd Ste 330
Wexford, PA 15090-6938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APC000198PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Open Space Counseling, Consulting & Wellness CurrentSince Jul 21, 2024 Accepting new patients

Locations

101 Bradford Rd
Ste 330
Wexford, PA 15090
Phone (724) 777-1433

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": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1083452619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BRADFORD RD STE 330",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRADFORD RD STE 330",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906938",
            "telephone_number": "724-777-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METELSKY",
        "first_name": "JULIA",
        "middle_name": "E",
        "credential": "APC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "APC000198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.