Individual provider Active NPI

Cheryl Elizabeth Massimo, CHERYL MASSIMO, LCSW

  • Mental Health Counselor
  • Pittsburgh, PA
National Provider Identifier
1104862242
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CW015306 Issued in PA
Practice address
7424 Washington Ave
Pittsburgh, PA 15218-2521
Phone
(412) 818-3509
NPI assigned
Jun 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW015306 PA Primary

Addresses

Primary practice location

7424 Washington Ave
Pittsburgh, PA 15218-2521

Mailing address

209 Orin St
Pittsburgh, PA 15235-2858
Phone (412) 244-0563

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW015306PAMDMental Health Counselor

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104862242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 ORIN ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152352858",
            "telephone_number": "412-244-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 WASHINGTON AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152182521",
            "telephone_number": "412-818-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIMO",
        "first_name": "CHERYL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "CHERYL MASSIMO, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW015306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.