Individual provider Active NPI

Nancy Smith, PHD

  • Counselor
  • Bridgeville, PA
National Provider Identifier
1215024823
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC002971 Issued in PA
Practice address
316 Station St Ste 100
Bridgeville, PA 15017-1833
Phone
(724) 942-3996
Fax
(724) 942-5471
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 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 PC002971 PA Primary

Addresses

Primary practice location

316 Station St Ste 100
Bridgeville, PA 15017-1833

Mailing address

1086 Gregg Station Rd
Oakdale, PA 15071-3008

Other practice location 1

101 W Main St Unit F5
Salunga, PA 17538-1109
Phone (412) 758-6545

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
PC002971PAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1215024823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 GREGG STATION RD",
            "city": "OAKDALE",
            "state": "PA",
            "postal_code": "150713008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 STATION ST STE 100",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171833",
            "telephone_number": "724-942-3996",
            "fax_number": "724-942-5471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Main St Unit F5",
            "address_purpose": "LOCATION",
            "city": "Salunga",
            "state": "PA",
            "postal_code": "175381109",
            "country_code": "US",
            "telephone_number": "412-758-6545",
            "fax_number": "412-221-2939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NANCY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC002971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.