Jessica Samantha Rumbaugh

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC012854 Issued in PA

Practice address

1010 Broadhead Rd
2ND Floor
Coraopolis, PA 15108-1510

Phone

(412) 339-1982

NPI assigned

Oct 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Favored Wellness Counseling and Consulting, LLCGroup PAC ID 2769994805, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Favored Wellness Counseling and Consulting, LLC

  • Professional Counselor
  • Moon Township, PA
  • NPI 1457986721
  Medicare reassignment Care Compare group NPD
• Wildflower and Fern Counseling and Consulting LLC

  • Counselor
  • Titusville, PA
  • NPI 1306737689
  NPD Authorized official
• Red Apple Nutrition, LLC

  • Registered Dietitian
  • Warrendale, PA
  • NPI 1295912228
  NPD (past)

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1093281107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 W ELM ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541412",
            "telephone_number": "412-474-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BROADHEAD RD",
            "address_2": "2ND FLOOR",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151081510",
            "telephone_number": "412-339-1982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 W Elm St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541412",
            "country_code": "US",
            "telephone_number": "412-474-2023",
            "fax_number": "412-474-2344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUMBAUGH",
        "first_name": "JESSICA",
        "middle_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC012854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR LICENSE",
            "identifier": "PC012854",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR LICENSE",
            "identifier": "E.2404109",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keri Joanne Ross
• Idelle Hope Roth
• James Louis Roundtree III, LAT, ATC, MBA
• Renee Rubinstein, MD
• Marilou M. Rubright, OTR/L
• J. Gregory Runco, DMD
• Ryan John Rupert, D.M.D.
• Mary A Russiello-Teachout, OTR/L
• Ryan J. Rupert D.M.D. L.L.C.
• Ryan's House, LLC

• Counselor in Coraopolis, PA
• Providers in Coraopolis, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.