Active NPI
Vonzell Wade
- Counselor
- New Kensington, PA
National Provider Identifier
1104234947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PC006804
- Practice address
- 408 8TH St Ste 5
New Kensington, PA 15068-6426 - Phone
- (724) 212-7899
- NPI assigned
- Jul 24, 2014
- Last updated
- Jul 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC006804 | PA | Primary |
Addresses
Primary practice location
408 8TH St Ste 5
New Kensington, PA 15068-6426
Mailing address
481 Farm Hill CT
New Kensington, PA 15068-5807
Phone (724) 594-7670
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC006804 | PA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luo Treatment and Recovery Center LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- New Kensington, PA
- NPI 1265846844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1104234947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 FARM HILL CT",
"city": "NEW KENSINGTON",
"state": "PA",
"postal_code": "150685807",
"telephone_number": "724-594-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 8TH ST STE 5",
"city": "NEW KENSINGTON",
"state": "PA",
"postal_code": "150686426",
"telephone_number": "724-212-7899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "VONZELL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-24",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC006804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Kensington, PA
- Nishit Vaghasia
- Robert A Valletta, DC
- Valley Medical Associates, PC
- Valley Points Family Young Men's Christian Association
- Charlotte Vermeulen, CRNP
- Walgreen Co (Walgreens #09344)
- Karen B. Walters, MA, NCC, LPC
- Blake Matthew Warner, DDS, PHD, MPH
- Lisa Wasilowski, RD, LDN, CDE
- Mariah Lynnay Webb, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.