Active NPI
Patricia Rosko Kubistek, LCSW
- Mental Health Counselor
- Latrobe, PA
National Provider Identifier
1235280074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW003900-L
- Practice address
- Patricia Rosko Kubistek
121 West 2ND Ave
Latrobe, PA 15650-2256 - Phone
- (724) 539-3040
- Fax
- (724) 537-1918
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW003900-L | PA | Primary |
Addresses
Primary practice location
Patricia Rosko Kubistek
121 West 2ND Ave
Latrobe, PA 15650-2256
Mailing address
Patricia Rosko Kubistek
1407 Main St.
Latrobe, PA 15650-2256
Phone (724) 537-1974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025571290002 | Medicaid | PA |
Other names 1
- Patricia Rosko
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW003900-L | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1235280074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PATRICIA ROSKO KUBISTEK",
"address_2": "1407 MAIN ST.",
"city": "LATROBE",
"state": "PA",
"postal_code": "156502256",
"telephone_number": "724-537-1974",
"fax_number": "724-537-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PATRICIA ROSKO KUBISTEK",
"address_2": "121 WEST 2ND AVE",
"city": "LATROBE",
"state": "PA",
"postal_code": "156502256",
"telephone_number": "724-539-3040",
"fax_number": "724-537-1918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSKO KUBISTEK",
"first_name": "PATRICIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "SW003900-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1025571290002",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "ROSKO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Latrobe, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.