Jodie McGovern, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC013065 Issued in PA

Practice address

1010 Brodhead Rd
Coraopolis, PA 15108-2322

Phone

(412) 339-1782

NPI assigned

Mar 10, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Luna: a Therapy Collective, LLC

  • Professional Counselor
  • Aliquippa, PA
  • NPI 1033088778

  Professional

  NPD Authorized official
• Favored Wellness Counseling and Consulting, LLC

  • Professional Counselor
  • Moon Township, PA
  • NPI 1457986721

  Professional

  NPD

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1396320586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "SOUTH HEIGHTS",
            "state": "PA",
            "postal_code": "150810287",
            "telephone_number": "724-495-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BRODHEAD RD",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082322",
            "telephone_number": "412-339-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "JODIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jodie@favoredwellness.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Favored Wellness  Counseling and Consulting LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "1010 Brodhead Rd",
            "city": "Coraopolis",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151082322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rajendar Matta, D.M.D
• Alexandra Mattina I, LCSW
• Damon M. McClain, M.D.
• Briana McClintock, OTR/L
• Carolyn McElhaney, OTR/L
• Molly Dale McIntyre, PA-C
• Mark McMillen
• Med-Fast Pharmacy Inc
• Melissa Medvitz
• Robert Michael Medwid Jr., DMD

• All providers in Coraopolis, PA
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.