Individual provider Active NPI

Deni Vasilatos, MA, ATR-BC, LPC

  • Mental Health Counselor
  • Cranberry Township, PA
National Provider Identifier
1467840728
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC002404 Issued in PA
Practice address
2009 Mackenzie Way
Cranberry Township, PA 16066-5332
Phone
(724) 814-9708
NPI assigned
Jan 8, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC002404 PA Primary

Addresses

Primary practice location

2009 Mackenzie Way
Cranberry Township, PA 16066-5332

Mailing address

1015 Sebring Rd
Beaver, PA 15009-9387
Phone (724) 774-3221

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
I20240325001161 PA Practitioner - Mental Health Counselor 8426495557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Facilities IncGroup PAC ID 8325956592, 37 clinicians

Practice addresses (Care Compare)

111 Hazel Lane
Suite 300
Sewickley, PA 15143-1253

111 Hazel LN
Suite 300
Sewickley, PA 15143-1253
Phone (412) 749-7330

720 Blackburn Rd
Sewickley, PA 15143-1459
Phone (412) 749-7330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities, Inc. CurrentSince Feb 20, 2024 Accepting new patients
Valley Medical Facilities, Inc. CurrentSince Feb 20, 2024 Accepting new patients
Valley Medical Facilities, Inc. Current Accepting new patients

Locations

200 Ohio River Blvd
Baden, PA 15005

111 Hazel Ln
Ste 300
Sewickley, PA 15143
Phone (412) 749-7330

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1467840728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 SEBRING RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099387",
            "telephone_number": "724-774-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 MACKENZIE WAY",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665332",
            "telephone_number": "724-814-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILATOS",
        "first_name": "DENI",
        "credential": "MA, ATR-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC002404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

Verify at the official NPI Registry.