Individual provider Active NPI

Courtney Michelle Alvarez, PHD, LPC

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1164052809
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011864 Issued in PA
Practice address
1350 Old Freeport Rd Ste 1a
Pittsburgh, PA 15238-3122
Phone
(412) 406-7734
Fax
(412) 406-7742
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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 65960 TX
Professional Counselor 101YP2500X PC011864 PA Primary

Addresses

Primary practice location

1350 Old Freeport Rd Ste 1a
Pittsburgh, PA 15238-3122

Mailing address

3333 5TH Ave
Pittsburgh, PA 15213-3109

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PC011864PAMDProfessional Counselor
65960TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Psychological Services Professional CurrentSince Jan 26, 2020 Accepting new patients
The Circulatory Center of PA, Inc. PastSince Jan 26, 2020 Accepting new patients

Locations

1350 Old Freeport Rd
Ste 1A
Pittsburgh, PA 15238
Phone (412) 406-7734

Organizations & group practices 2

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": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1164052809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 OLD FREEPORT RD STE 1A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383122",
            "telephone_number": "412-406-7734",
            "fax_number": "412-406-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "COURTNEY",
        "middle_name": "MICHELLE",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65960",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011864",
            "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 Jan 22, 2020; 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.