Individual provider Active NPI

Danielle Carrie O'Wade, MA LPC NCC

  • Mental Health Counselor
  • Rostraver Township, PA
National Provider Identifier
1417304494
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC008938 Issued in PA
Practice address
510 Circle Drive
Suite 103
Rostraver Township, PA 15012
Phone
(724) 757-2845
NPI assigned
May 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC008938 PA
Mental Health Counselor 101YM0800X PC008938 PA Primary

Addresses

Primary practice location

510 Circle Drive
Suite 103
Rostraver Township, PA 15012

Mailing address

1630 Rostraver Road
Belle Vernon, PA 15012
Phone (724) 757-2845

Other practice location 1

2 Eastgate Ave
Monessen, PA 15062
Phone (724) 684-6489 ext. 4337

Other names 1

  • Danielle Carrie Dupres Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 7, 2025 through Jan 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC008938PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1417304494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 ROSTRAVER ROAD",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "15012",
            "telephone_number": "724-757-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CIRCLE DRIVE",
            "address_2": "SUITE 103",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "15012",
            "telephone_number": "724-757-2845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Eastgate Ave",
            "address_purpose": "LOCATION",
            "city": "Monessen",
            "state": "PA",
            "postal_code": "15062",
            "country_code": "US",
            "telephone_number": "724-684-6489 x4337",
            "fax_number": "724-684-7116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'WADE",
        "first_name": "DANIELLE",
        "middle_name": "CARRIE",
        "name_prefix": "Mrs.",
        "credential": "MA LPC NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC008938",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC008938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "DUPRES",
            "middle_name": "CARRIE",
            "credential": "MA LPC NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rostraver Township, PA

Sources for this page

Verify at the official NPI Registry.