Active NPI
Angus K Martindale, MSPC
- Professional Counselor
- Allison Park, PA
National Provider Identifier
1154880078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC013125
- Practice address
- 3960 William Flynn Hwy Ste 300
Allison Park, PA 15101-3601 - Phone
- (412) 527-5463
- NPI assigned
- Mar 19, 2019
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Professional Counselor | 101YP2500X | PC013125 | PA | Primary |
Addresses
Primary practice location
3960 William Flynn Hwy Ste 300
Allison Park, PA 15101-3601
Mailing address
3021 Woodland Rd
Ambridge, PA 15003-1349
Phone (412) 527-5463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC013125 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MK Counseling Services, LLC | Past | Accepting new patients |
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 1417438300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1154880078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 WOODLAND RD",
"city": "AMBRIDGE",
"state": "PA",
"postal_code": "150031349",
"telephone_number": "412-527-5463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3960 WILLIAM FLYNN HWY STE 300",
"city": "ALLISON PARK",
"state": "PA",
"postal_code": "151013601",
"telephone_number": "412-527-5463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINDALE",
"first_name": "ANGUS",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "MSPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC013125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allison Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.