Individual provider Active NPI

Emily Kelly Fairweather, MS, LPC, PCIT

  • Mental Health Counselor
  • Pittsburgh, PA
National Provider Identifier
1114466109
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC010483 Issued in PA
Practice address
7950 Saltsburg Rd Ste 4
Pittsburgh, PA 15239-1974
Phone
(412) 944-6400
NPI assigned
Feb 23, 2017
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X PC010483 PA Primary

Addresses

Primary practice location

7950 Saltsburg Rd Ste 4
Pittsburgh, PA 15239-1974

Mailing address

7950 Saltsburg Rd Ste 4
Pittsburgh, PA 15239-1974
Phone (412) 944-6400

Other practice location 1

339 Old Haymaker Rd
Suite 1102
Monroeville, PA 15146-1435
Phone (412) 824-4005

Other practice location 2

105 Bradford Rd Ste 400
Wexford, PA 15090-6920
Phone (412) 944-6400

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC010483PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Behavioral Resources, Inc. PastSince Mar 24, 2017 Accepting new patients
Robyn Crouch, LLC PastSince Aug 14, 2022 Accepting new patients

Organizations & group practices 2

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1114466109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 SALTSBURG RD STE 4",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152391974",
            "telephone_number": "412-944-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 SALTSBURG RD STE 4",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152391974",
            "telephone_number": "412-944-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 Old Haymaker Rd",
            "address_2": "Suite 1102",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151461435",
            "country_code": "US",
            "telephone_number": "412-824-4005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Bradford Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150906920",
            "country_code": "US",
            "telephone_number": "412-944-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRWEATHER",
        "first_name": "EMILY",
        "middle_name": "KELLY",
        "credential": "MS, LPC, PCIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC010483",
            "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 Aug 11, 2022; 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.