Individual provider Active NPI

Lance Otis Waltman, LPC

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1386018703
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008540 Issued in PA
Practice address
1824 Murray Ave Ste 304
Pittsburgh, PA 15217-1655
Phone
(412) 345-1998
NPI assigned
Nov 23, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC008540 PA Primary

Addresses

Primary practice location

1824 Murray Ave Ste 304
Pittsburgh, PA 15217-1655

Mailing address

1824 Murray Ave Ste 304
Pittsburgh, PA 15217-1655
Phone (412) 345-1998

Other practice location 1

1425 Forbes Ave
Second floor
Pittsburgh, PA 15219-5140
Phone (412) 363-1702 ext. 1136

Other practice location 2

534 Lincoln Ave Ste 1B
Bellevue, PA 15202-3560
Phone (412) 345-1998

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

LicenseStateTypeSpecialty
PC008540PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386018703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 MURRAY AVE STE 304",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171655",
            "telephone_number": "412-345-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 MURRAY AVE STE 304",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171655",
            "telephone_number": "412-345-1998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Forbes Ave",
            "address_2": "Second floor",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152195140",
            "country_code": "US",
            "telephone_number": "412-363-1702 x1136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "534 Lincoln Ave Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "PA",
            "postal_code": "152023560",
            "country_code": "US",
            "telephone_number": "412-345-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTMAN",
        "first_name": "LANCE",
        "middle_name": "OTIS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.