Individual provider Active NPI

Paige Balluch

  • Professional Counselor
  • Mercer, PA
National Provider Identifier
1265013874
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015704 Issued in PA
Practice address
456 N Pitt St
Mercer, PA 16137-1129
Phone
(724) 662-7202
Fax
(724) 662-7208
NPI assigned
Apr 15, 2021
Last updated
May 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X PC015704 PA Primary

Addresses

Primary practice location

456 N Pitt St
Mercer, PA 16137-1129

Mailing address

456 N Pitt St
Mercer, PA 16137-1129
Phone (724) 662-7202

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
I20240112002170 PA Practitioner - Mental Health Counselor 5890146930 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
Telehealth
Offers telehealth services
Group practices
Davis Counseling ServicesGroup PAC ID 8729234570, 3 clinicians

Practice addresses (Care Compare)

456 N Pitt St
Mercer, PA 16137-1129
Phone (724) 662-7202

689 N Hermitage Rd
Suite 4
Hermitage, PA 16148-3237
Phone (724) 983-1940

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PC015704PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Paoletta Counseling Services, Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Paoletta Counseling Services, Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Davis Counseling Services CurrentSince Jan 1, 2025 Accepting new patients
Lymphedema Place, LLC PastSince Jan 1, 2025 Accepting new patients

Locations

689 N Hermitage Rd
Ste 4
Hermitage, PA 16148
Phone (724) 931-5555

456 N Pitt St
Mercer, PA 16137
Phone (724) 662-7202

Organizations & group practices 4

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": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1265013874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 N PITT ST",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161371129",
            "telephone_number": "724-662-7202",
            "fax_number": "724-662-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N PITT ST",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161371129",
            "telephone_number": "724-662-7202",
            "fax_number": "724-662-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLUCH",
        "first_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer, PA

Sources for this page

Verify at the official NPI Registry.