Individual provider Active NPI

Patricia Rosko Kubistek, LCSW

  • Mental Health Counselor
  • Latrobe, PA
National Provider Identifier
1235280074
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW003900-L Issued in PA
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

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1025571290002MedicaidPA

Other names 1

  • Patricia Rosko Former name

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

LicenseStateTypeSpecialty
SW003900-LPAMDMental 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.

Verify at the official NPI Registry.