Adverse Childhood Experience, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ADVERSE CHILDHOOD EXPERIENCE, LLC

Practice address

208 Long Rd
Pittsburgh, PA 15235-3145

Phone

(412) 512-0665

NPI assigned

Oct 8, 2019

Last updated

Dec 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Rosalind McAllister, PROFESSIOAL COUNSELONPI 1467093781

Title

Owner/Operator

Phone

(412) 512-0665

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Rosalind McAllister, PROFESSIONAL COUNSEL

  • Counselor
  • Pittsburgh, PA
  • NPI 1467093781

  Mental Health (Including Community Mental Health Center)

  NPD Authorized official

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1437791761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LONG RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152353145",
            "telephone_number": "412-512-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 LONG RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152353145",
            "telephone_number": "412-512-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVERSE CHILDHOOD EXPERIENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ROSALIND",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "412-512-0665",
        "authorized_official_credential": "PROFESSIOAL COUNSELO"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "261QM0801X",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261QM0801X",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Pittsburgh",
            "affiliation": "N",
            "endpointDescription": "261Qm0801X",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "208 Long Rd",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152353145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.