Individual provider Active NPI

Nickolas Summa, LMFT

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1124464441
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC017052 Issued in PA
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

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231122002851 PA Practitioner - Marriage and Family Therapist 8426406893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC017052PAMDProfessional Counselor
MF000917PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Congruent Relationships LLC Marriage & Family Therapist CurrentSince Oct 20, 2024 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.

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

Verify at the official NPI Registry.