Kim Antonacci-Nolan
Individual provider Active NPI Mental Health Counselor · Wexford, PA
NPI 1124419569 · NPPES record last updated Aug 31, 2026
Key facts
- NPI
- 1124419569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- PC015838 (PA)
- Practice address
- 8606 Lexington PL
Wexford, PA 15090-7528 - Phone
- (724) 612-7606
- NPI assigned
- Feb 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- East End Therapists LLC
Practice addresses (Care Compare)
2540 Monroeville Blvd
Monroeville, PA 15146-2329
Phone (412) 206-1411
8606 Lexington PL
Wexford, PA 15090-7528
Phone (412) 223-7192
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250128004652 | PA | Practitioner - Mental Health Counselor | 8628507183 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East End Therapists, LLC | Current |
Accepting new patients | |
| Kim'S Counseling | Current |
Accepting new patients |
Locations
2540 Monroeville Blvd
Monroeville, PA 15146
Phone (412) 206-1411
6301 Forbes Ave
Ste 230
Pittsburgh, PA 15217
Phone (412) 206-1411
30 Maple Dr
Wexford, PA 15090
Phone (412) 756-3668
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC015838 | PA | Yes |
Addresses
Primary practice location
8606 Lexington PL
Wexford, PA 15090-7528
Mailing address
8235 Ohio River Blvd
Pittsburgh, PA 15202-1454
Other providers in Wexford, PA
- Angela M. Dean PSYD PLLC
- Brianne Lawry Angelopoulos
- Angela M Angiolieri
- Ryan Anselmino
- Vanessa Jean Anthony
- Alexander David Anzarut
- Debra Arbuthnot
- Claudia Melendez Ardiles
- Luiza Arieta Frota de Souza
- Kathleen Susan Armbrecht
All providers in Wexford, PA · Mental Health Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.