Organization Active NPI

Pine Counseling Services

  • Clinical Social Worker
  • Wexford, PA
National Provider Identifier
1447413588
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021654 Issued in PA
Legal business name
PINE COUNSELING SERVICES
Practice address
101 Bradford Rd
Suite 230
Wexford, PA 15090-6909
Phone
(724) 940-9141
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Melissa R Romanelli
Title
Billing
Phone
(724) 387-2455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW021654 PA Primary

Addresses

Primary practice location

101 Bradford Rd
Suite 230
Wexford, PA 15090-6909

Mailing address

101 Bradford Rd
Suite 230
Wexford, PA 15090-6909
Phone (724) 940-9141

Other identifiers 1

IdentifierTypeStateIssuer
2012601OtherPAHIGHMARK

National Provider Directory

National Provider Directory

Locations

101 Bradford Rd
Ste 230
Wexford, PA 15090
Phone (412) 367-8162

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1447413588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BRADFORD RD",
            "address_2": "SUITE 230",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906909",
            "telephone_number": "724-940-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRADFORD RD",
            "address_2": "SUITE 230",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906909",
            "telephone_number": "724-940-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "ROMANELLI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "724-387-2455"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "2012601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.