Jennifer Ann Divittis, LPC NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC005453 Issued in PA

Practice address

725 Main St
Latrobe, PA 15650-1632

Phone

(724) 516-8192

NPI assigned

Sep 11, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western PA Behavioral Health ResourcesGroup PAC ID 4183772858, 21 clinicians

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.

• Western PA Behavioral Health Resources LLC

  • Child & Adolescent Psychiatry Physician
  • Grindstone, PA
  • NPI 1841432184
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1284163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284163200000",
    "number": "1194032177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 MAIN ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501632",
            "telephone_number": "724-516-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 MAIN ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501632",
            "telephone_number": "724-516-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVITTIS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "LPC NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-11",
        "last_updated": "2010-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatologist on Call Medical Group PC (DermatologistOnCall)
• Tina Marie Desport, LSW
• Leah M Dice Haid, DO
• Daniel B Dicola, MD
• Digital Rehabilitation Associates Inc
• Joseph Dominick, COTA/L
• Donald L Valentine, DC
• Jeffrey Donatelli, DMD
• Robert L Donley, D.O.
• Gina M Donovan, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2010; 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.