Individual provider Active NPI

Bridgette Lauren Petras, MS, CAADC, LPC

  • Mental Health Counselor
  • Washington, PA
National Provider Identifier
1265290613
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC016345 Issued in PA
Practice address
400 Locust Ave
Washington, PA 15301-3397
Phone
(724) 249-2749
NPI assigned
Mar 11, 2024
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 PC016345 PA Primary

Addresses

Primary practice location

400 Locust Ave
Washington, PA 15301-3397

Mailing address

400 Locust Ave
Washington, PA 15301-3397
Phone (724) 249-2749

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
I20241213001324 PA Practitioner - Mental Health Counselor 0648716258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Counseling and Consulting LLCGroup PAC ID 9032654132, 6 clinicians

Practice addresses (Care Compare)

400 Locust Ave
Suite 1
Washington, PA 15301-3397
Phone (724) 249-2749

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Counseling and Consulting LLC CurrentSince May 10, 2024 Accepting new patients

Locations

4000 Waterdam Plaza Dr
Ste 260
McMurray, PA 15317
Phone (724) 249-2749

400 Locust Ave
Washington, PA 15301
Phone (724) 222-2577

400 Locust Ave
Ste 1
Washington, PA 15301
Phone (724) 249-2749

Organizations & group practices 1

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1265290613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LOCUST AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013397",
            "telephone_number": "724-249-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LOCUST AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013397",
            "telephone_number": "724-249-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRAS",
        "first_name": "BRIDGETTE",
        "middle_name": "LAUREN",
        "credential": "MS, CAADC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC016345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.