Individual provider Active NPI

Kimberly Trevithick, M.ED.

  • School Counselor
  • Pittsburgh, PA
National Provider Identifier
1134594542
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
1967601 Issued in PA
Practice address
5648 Friendship Ave
Glade Run Lutheran Services
Pittsburgh, PA 15206-3610
Phone
(610) 357-9887
NPI assigned
Dec 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 1967601 PA Primary

Addresses

Primary practice location

5648 Friendship Ave
Glade Run Lutheran Services
Pittsburgh, PA 15206-3610

Mailing address

616 Peebles St
Pittsburgh, PA 15221-3213
Phone (610) 357-9887

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 Education

State licenses

LicenseStateTypeSpecialty
1967601PAMDSchool Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1134594542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 PEEBLES ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152213213",
            "telephone_number": "610-357-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5648 FRIENDSHIP AVE",
            "address_2": "GLADE RUN LUTHERAN SERVICES",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063610",
            "telephone_number": "610-357-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVITHICK",
        "first_name": "KIMBERLY",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "PA",
            "license": "1967601",
            "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 Dec 10, 2015; 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.