Individual provider Active NPI

Mark Vincent Decaria, MA LPC CCS CAADC NCC

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1396302204
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011277 Issued in PA
Practice address
2500 Baldwick Rd Ste 280
Pittsburgh, PA 15205-4160
Phone
(412) 922-4300
NPI assigned
May 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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 PC011277 PA Primary

Addresses

Primary practice location

2500 Baldwick Rd Ste 280
Pittsburgh, PA 15205-4160

Mailing address

120 Lytton Ave
Pittsburgh, PA 15213-1481

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC011277PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions West, LLC PastSince Sep 25, 2012 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1396302204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LYTTON AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BALDWICK RD STE 280",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054160",
            "telephone_number": "412-922-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARIA",
        "first_name": "MARK",
        "middle_name": "VINCENT",
        "credential": "MA LPC CCS CAADC NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-27",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011277",
            "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 14, 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.

Verify at the official NPI Registry.