Jered Benjamin Kolbert, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002286 Issued in PA

Practice address

2121 Noblestown Rd Ste 201
Pittsburgh, PA 15205-3956

Phone

(412) 920-4200

Fax

(412) 920-4200

NPI assigned

Jan 2, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psychology & Learning Center Inc

  dba Psychology and Learning Center

  • Clinic/Center
  • Monaca, PA
  • NPI 1710771670
  Medicare reassignment NPD

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1184131088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 NOBLESTOWN RD STE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152053956",
            "telephone_number": "412-920-4200",
            "fax_number": "412-920-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NOBLESTOWN RD STE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152053956",
            "telephone_number": "412-920-4200",
            "fax_number": "412-920-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBERT",
        "first_name": "JERED",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "002286",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "002286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR (LPC)",
            "identifier": "002286",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Kolakowski
• Molly Ann Kolarik, CRNP
• Tess Kolarik
• Norman Kolb
• Marissa Kolbeck
• John Paul George Kolcun, MD
• Amy Satterthwaite Kolde, OTR/L
• Grant David Kolde, MD
• Ayse Betul Kolemen
• Allison Kathryn Koleny, CRNP

• Professional Counselor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.