Individual provider Active NPI

Cheria Jackson

  • Counselor
  • Pittsburgh, PA
National Provider Identifier
1164079083
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
3501 Forbes Ave Ste 900
Pittsburgh, PA 15213-3326
Phone
(412) 246-5910
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

3501 Forbes Ave Ste 900
Pittsburgh, PA 15213-3326

Mailing address

3501 Forbes Ave Ste 900
Pittsburgh, PA 15213-3326
Phone (412) 246-5910

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
I20240513000172 PA Practitioner - Mental Health Counselor 7810338563 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cranberry Psychological Center, Inc. CurrentSince Mar 4, 2024 Accepting new patients

Locations

3402 Washington Rd
Ste 304
McMurray, PA 15317
Phone (724) 772-4848

100 Northpointe Cir
Ste 306
Seven Fields, PA 16046
Phone (724) 772-4848

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1164079083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 FORBES AVE STE 900",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133326",
            "telephone_number": "412-246-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 FORBES AVE STE 900",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133326",
            "telephone_number": "412-246-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHERIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.