Active NPI
Lucas Malmberg
- Professional Counselor
- Gibsonia, PA
National Provider Identifier
1265058747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC015543
- Practice address
- 27 Girdwood LN
Gibsonia, PA 15044-5026 - Phone
- (412) 204-6004
- NPI assigned
- Jun 22, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC015543 | PA | Primary |
Addresses
Primary practice location
27 Girdwood LN
Gibsonia, PA 15044-5026
Mailing address
27 Girdwood LN
Gibsonia, PA 15044-5026
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC015543 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1265058747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 GIRDWOOD LN",
"city": "GIBSONIA",
"state": "PA",
"postal_code": "150445026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 GIRDWOOD LN",
"city": "GIBSONIA",
"state": "PA",
"postal_code": "150445026",
"telephone_number": "412-204-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALMBERG",
"first_name": "LUCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-22",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC015543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gibsonia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.