Individual provider Active NPI

Noah Douglas Mickey

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1215654454
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC016417 Issued in PA
Practice address
5830 Ellsworth Ave Ste 301
Pittsburgh, PA 15232-1778
Phone
(855) 284-7483
NPI assigned
Oct 27, 2022
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC016417 PA Primary

Addresses

Primary practice location

5830 Ellsworth Ave Ste 301
Pittsburgh, PA 15232-1778

Mailing address

PO Box 748465
Atlanta, GA 30374-8465

Other practice location 1

510 Washington Ave Unit 301
Carnegie, PA 15106-2874
Phone (724) 747-4037

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
I20231226001067 PA Practitioner - Mental Health Counselor 5496105900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

510 Washington Ave
Unit 301
Carnegie, PA 15106-2874
Phone (724) 747-4037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC016417PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Self Care Conversations LLC Professional CurrentSince Mar 31, 2025 Accepting new patients
Thrive Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

510 Washington Ave
Unit 301
Carnegie, PA 15106
Phone (724) 747-4037

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1215654454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 ELLSWORTH AVE STE 301",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321778",
            "telephone_number": "855-284-7483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Washington Ave Unit 301",
            "address_purpose": "LOCATION",
            "city": "Carnegie",
            "state": "PA",
            "postal_code": "151062874",
            "country_code": "US",
            "telephone_number": "724-747-4037",
            "fax_number": "724-747-4037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICKEY",
        "first_name": "NOAH",
        "middle_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-27",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.