Active NPI
Johnna Donnelly, LPC
- Professional Counselor
- Wexford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 11676 Perry Hwy Ste 2309
Wexford, PA 15090-7200 - Phone
- (814) 201-1416
- NPI assigned
- Jul 22, 2019
- Last updated
- Aug 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C.1901774-TRNE | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C.2002798 | OH | |
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
11676 Perry Hwy Ste 2309
Wexford, PA 15090-7200
Mailing address
1213 Highland Ave
New Castle, PA 16105-2646
Phone (724) 234-0379
Other practice location 1
5760 Patriot Blvd
Austintown, OH 44515-1170
Phone (330) 953-0243 ext. 1104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1901774-TRNE | OH | MD | Addiction (Substance Use Disorder) Counselor |
| C.2002798 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sobair LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973
4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197
100 Allegheny Dr
Ste 105D
Warrendale, PA 15086
11676 Perry Hwy
Ste 2309
Wexford, PA 15090
Phone (412) 345-1127
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.
-
- Adult Mental Health Clinic/Center
- Wexford, PA
- NPI 1184347734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1457904211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 HIGHLAND AVE",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161052646",
"telephone_number": "724-234-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11676 PERRY HWY STE 2309",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150907200",
"telephone_number": "814-201-1416"
}
],
"practiceLocations": [
{
"address_1": "5760 Patriot Blvd",
"address_purpose": "LOCATION",
"city": "Austintown",
"state": "OH",
"postal_code": "445151170",
"country_code": "US",
"telephone_number": "330-953-0243 x1104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONNELLY",
"first_name": "JOHNNA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "C.1901774-TRNE",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "C.2002798",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.