Katherine Ann Janicki

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC009851 Issued in PA

Practice address

80 Emerson LN Ste 1303
Bridgeville, PA 15017-3472

Phone

(412) 221-7770

NPI assigned

Jan 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ms Legacy, PC

  • Community/Behavioral Health Agency
  • Bridgeville, PA
  • NPI 1972857936
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1336603836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 EMERSON LN STE 1303",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150173472",
            "telephone_number": "412-221-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EMERSON LN STE 1303",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150173472",
            "telephone_number": "412-221-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANICKI",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC009851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew L Huwe, DC
• Michael J Huwe, DC
• Colleen Ignatz
• Erin E Jackson
• Megan Jacobs
• Leticia Quinto Jariwala, MD
• Colleen Jervis, M.ED., LBS
• Chelsea Renee Johnson, IBCLC
• Enrico J Johnson
• Ashley Julin

• Mental Health Counselor in Bridgeville, PA
• Providers in Bridgeville, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.