Individual provider Active NPI

Therese Marie Sanderson, LPC, PHD

  • Professional Counselor
  • Wexford, PA
National Provider Identifier
1467228387
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006871 Issued in PA
Practice address
4001 Stonewood Dr Ste 110
Wexford, PA 15090-8398
Phone
(412) 923-0677
NPI assigned
Dec 1, 2023
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6361004435 MI
Professional Counselor 101YP2500X PC006871 PA Primary

Addresses

Primary practice location

4001 Stonewood Dr Ste 110
Wexford, PA 15090-8398

Mailing address

100 Rabold Dr
Wexford, PA 15090-8645
Phone (412) 495-2895

Other names 1

  • Therese Began Former name

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
I20240109003954 PA Practitioner - Mental Health Counselor 6305297813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4001 Stonewood Dr
Suite 110
Wexford, PA 15090-8398
Phone (412) 747-1690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PC006871PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gesund Health LLC - MH Pittsburgh Management, a Protected Series CurrentSince Jan 1, 2024 Accepting new patients

Locations

4001 Stonewood Dr
Ste 110
Wexford, PA 15090
Phone (412) 747-1690

Organizations & group practices 1

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": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1467228387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RABOLD DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908645",
            "telephone_number": "412-495-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 STONEWOOD DR STE 110",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908398",
            "telephone_number": "412-923-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "THERESE",
        "middle_name": "MARIE",
        "credential": "LPC, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361004435",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESE",
            "last_name": "BEGAN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.