Individual provider Active NPI

Rustin Paradise, MS, LPC

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1225673577
Registry record updated Apr 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3501 Forbes Ave Ste 900
Pittsburgh, PA 15213-3326
Phone
(412) 246-6156
NPI assigned
Nov 11, 2019
Last updated
Apr 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2023

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 PA Primary

Addresses

Primary practice location

3501 Forbes Ave Ste 900
Pittsburgh, PA 15213-3326

Mailing address

1009 Meadow LN Unit 303
Canonsburg, PA 15317-4743
Phone (814) 494-1313

Other practice location 1

927 Brookline Blvd Ste 1
Pittsburgh, PA 15226-2182
Phone (412) 314-1553

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
I20231214002818 PA Practitioner - Mental Health Counselor 9133578230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Feather Therapy LLC CurrentSince Apr 23, 2023 Accepting new patients
Upmc Presbyterian Shadyside CurrentSince Jan 1, 2024 Accepting new patients
Upmc Presbyterian Shadyside CurrentSince Jan 1, 2024 Accepting new patients

Locations

3501 Forbes Ave
Ste 900
Pittsburgh, PA 15213
Phone (412) 246-5910

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

Organizations & group practices 3

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": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681516800000",
    "number": "1225673577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 MEADOW LN UNIT 303",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174743",
            "telephone_number": "814-494-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 FORBES AVE STE 900",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133326",
            "telephone_number": "412-246-6156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "927 Brookline Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152262182",
            "country_code": "US",
            "telephone_number": "412-314-1553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARADISE",
        "first_name": "RUSTIN",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2023-04-15",
        "certification_date": "2023-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.