Individual provider Active NPI

Jeffrey Miklavic, LPC

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1457340655
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC002176 Issued in PA
Practice address
330 9TH St
South 9TH Street Center
Pittsburgh, PA 15215-2358
Phone
(412) 488-4040
Fax
(412) 488-4932
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 PC002176 PA Primary

Addresses

Primary practice location

330 9TH St
South 9TH Street Center
Pittsburgh, PA 15215-2358

Mailing address

1200 Reedsdale St
Pittsburgh, PA 15233-2109
Phone (412) 323-8026

Other identifiers 1

IdentifierTypeStateIssuer
1418227OtherPAHIGHMARK

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
I20240131000409 PA Practitioner - Mental Health Counselor 1951754530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 Reedsdale St
Pittsburgh, PA 15233-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC002176PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Life Center Corp CurrentSince Jan 1, 2024 Accepting new patients
Mercy Life Center Corporation CurrentSince Jan 1, 2024 Accepting new patients

Locations

101 W Station Square Dr
Pittsburgh, PA 15219
Phone (412) 471-6270

330 S 9th St
Pittsburgh, PA 15203
Phone (877) 637-2924

1200 Reedsdale St
Pittsburgh, PA 15233
Phone (412) 323-4543

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457340655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 REEDSDALE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152332109",
            "telephone_number": "412-323-8026",
            "fax_number": "412-323-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 9TH ST",
            "address_2": "SOUTH 9TH STREET CENTER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152152358",
            "telephone_number": "412-488-4040",
            "fax_number": "412-488-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLAVIC",
        "first_name": "JEFFREY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1418227",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.