Individual provider Active NPI

Brenda Ann Bacich, LPC

  • Professional Counselor
  • Hermitage, PA
National Provider Identifier
1447529417
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006163 Issued in PA
Practice address
2500 Highland Rd Ste 102
Hermitage, PA 16148-4602
Phone
(724) 654-9555
Fax
(724) 498-0976
NPI assigned
Dec 21, 2011
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC006163 PA
Professional Counselor 101YP2500X PC006163 PA Primary

Addresses

Primary practice location

2500 Highland Rd Ste 102
Hermitage, PA 16148-4602

Mailing address

401 N Jefferson St
New Castle, PA 16101-2238
Phone (724) 654-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128002103 PA Practitioner - Mental Health Counselor 3971951112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Angelus Therapeutic Services IncGroup PAC ID 0749539203, 7 clinicians

Practice addresses (Care Compare)

2500 Highland Rd
Suite 102
Hermitage, PA 16148-4602
Phone (724) 654-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Angelus Therapeutic Services Inc Professional CurrentSince Jan 20, 2025 Accepting new patients
Iftikhar a. Chatha, MD, PC CurrentSince Jan 20, 2025 Accepting new patients
All About Life Professional PastSince Feb 27, 2024 Accepting new patients

Locations

2500 Highland Rd
Ste 102
Hermitage, PA 16148
Phone (724) 654-9555

401 N Jefferson St
New Castle, PA 16101
Phone (724) 654-9555

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1447529417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N JEFFERSON ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161012238",
            "telephone_number": "724-654-9555",
            "fax_number": "724-498-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HIGHLAND RD STE 102",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484602",
            "telephone_number": "724-654-9555",
            "fax_number": "724-498-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACICH",
        "first_name": "BRENDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC006163",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.