Active NPI
Nickolas Summa, LMFT
- Professional Counselor
- Pittsburgh, PA
National Provider Identifier
1124464441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC017052
- Practice address
- 907 West St Ste 516
Pittsburgh, PA 15221-2838 - Phone
- (412) 238-7274
- Fax
- (412) 345-5827
- NPI assigned
- May 14, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC017052 | PA | Primary |
| Marriage & Family Therapist | 106H00000X | MF000917 | PA |
Addresses
Primary practice location
907 West St Ste 516
Pittsburgh, PA 15221-2838
Mailing address
150 Robbins Station Rd Ste 8
Irwin, PA 15642-2037
Phone (412) 238-7274
Other practice location 1
150 Robbins Station Rd Ste 10
Irwin, PA 15642-2037
Phone (412) 238-7274
Other practice location 2
150 Robbins Station Rd Ste 8
Irwin, PA 15642-2037
Phone (412) 238-7274
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231122002851 | PA | Practitioner - Marriage and Family Therapist | 8426406893 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC017052 | PA | MD | Professional Counselor |
| MF000917 | PA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Congruent Relationships LLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
150 Robbins Station Rd
Ste 10
Irwin, PA 15642
Phone (412) 238-7274
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Pittsburgh, PA
- NPI 1962243998
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1124464441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 ROBBINS STATION RD STE 8",
"city": "IRWIN",
"state": "PA",
"postal_code": "156422037",
"telephone_number": "412-238-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 WEST ST STE 516",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152212838",
"telephone_number": "412-238-7274",
"fax_number": "412-345-5827"
}
],
"practiceLocations": [
{
"address_1": "150 Robbins Station Rd Ste 10",
"address_purpose": "LOCATION",
"city": "Irwin",
"state": "PA",
"postal_code": "156422037",
"country_code": "US",
"telephone_number": "412-238-7274",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Robbins Station Rd Ste 8",
"address_purpose": "LOCATION",
"city": "Irwin",
"state": "PA",
"postal_code": "156422037",
"country_code": "US",
"telephone_number": "412-238-7274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUMMA",
"first_name": "NICKOLAS",
"name_prefix": "Dr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-14",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC017052",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000917",
"primary": false
}
],
"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 Oct 14, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.