Brian Orlando Minniefield, MSW, LPC
Individual provider Active NPI Professional Counselor · Wilkinsburg, PA
NPI 1134494537 · NPPES record last updated Mar 19, 2012
Key facts
- NPI
- 1134494537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC006269 (PA)
- Practice address
- 221 Penn Ave
Wilkinsburg, PA 15221-2118 - Phone
- (412) 342-2320
- Fax
- (412) 247-6399
- NPI assigned
- Mar 19, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC006269 | PA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC006269 | PA | Yes |
Addresses
Primary practice location
221 Penn Ave
Wilkinsburg, PA 15221-2118
Mailing address
221 Penn Ave
Wilkinsburg, PA 15221-2118
Phone (412) 342-2320
Other providers in Wilkinsburg, PA
- Jeffrey Ross McKenna
- David McMullen
- Raymond Albert Metz
- Michelle Mick
- Deborah Jean Milanek
- Jennifer Mitchell
- Almondina Moore
- Carolyn Mullooly
- Michelle Nesby
- Sarah Noll
All providers in Wilkinsburg, PA · Professional 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 Mar 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.