NPIMap

Individual provider Active NPI

Thais Irene Bagiatis, LPC

  • Professional Counselor
  • Fredericktown, PA
National Provider Identifier
1407688658
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1070 Old National Pike
Fredericktown, PA 15333-2114
Phone
(724) 632-6801
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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 Primary

Addresses

Primary practice location

1070 Old National Pike
Fredericktown, PA 15333-2114

Mailing address

2957 Ridge Rd
South Park, PA 15129-8824
Phone (724) 304-0990

Other practice location 1

608 E McMurray Rd Ste 102
Mc Murray, PA 15317-3440
Phone (724) 304-0990

Other practice location 2

2957 Ridge Rd
South Park, PA 15129-8824
Phone (724) 304-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116001797 PA Practitioner - Mental Health Counselor 7214465335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerville Clinics, Inc.Group PAC ID 7214837202, 44 clinicians

Practice addresses (Care Compare)

37 Highland Ave
Washington, PA 15301-4062
Phone (724) 223-1067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centerville Clinics , Inc. CurrentSince Jan 9, 2025 Accepting new patients
Centerville Clinics, Inc CurrentSince Jan 9, 2025 Accepting new patients
Dawn Marie Friend, PSYD, LLC PastSince Jul 1, 2010 Accepting new patients

Locations

1070 Old National Pike
Fredericktown, PA 15333

Interoperability endpoints

  • Direct secure messaging: thais.bagiatis.1@33484.direct.athenahealth.com

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1407688658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2957 RIDGE RD",
            "city": "SOUTH PARK",
            "state": "PA",
            "postal_code": "151298824",
            "telephone_number": "724-304-0990",
            "fax_number": "724-304-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 OLD NATIONAL PIKE",
            "city": "FREDERICKTOWN",
            "state": "PA",
            "postal_code": "153332114",
            "telephone_number": "724-632-6801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 E McMurray Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mc Murray",
            "state": "PA",
            "postal_code": "153173440",
            "country_code": "US",
            "telephone_number": "724-304-0990",
            "fax_number": "724-304-0693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2957 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "South Park",
            "state": "PA",
            "postal_code": "151298824",
            "country_code": "US",
            "telephone_number": "724-304-0990",
            "fax_number": "724-304-0693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGIATIS",
        "first_name": "THAIS",
        "middle_name": "IRENE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericktown, PA

Sources for this page

Verify at the official NPI Registry.