Mariah Cheyenne Provins

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5231 Penn Ave FL 1
Pittsburgh, PA 15224-1768

Phone

(412) 204-9100

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1205317476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 PENN AVE FL 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 PENN AVE FL 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241768",
            "telephone_number": "412-204-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVINS",
        "first_name": "MARIAH",
        "middle_name": "CHEYENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Prout, M.D.
• Emilie Vanderslice Prout, PA-C
• Provenance Counseling and Wellness, LLC
• Sarah Marie Providence, PHARMD
• Provident Charter School
• Kelley Lee Prowitt
• Dominique Prue, MD
• Kathryn Pruett
• Heather Prunty
• Jennifer Ann Pruskowski-Borrelli, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.