Individual provider Active NPI

Rachel Marie Shuba

  • Professional Counselor
  • Bridgeville, PA
National Provider Identifier
1487020988
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008048 Issued in PA
Practice address
300 Old Pond Rd Ste 201
Bridgeville, PA 15017-1270
Phone
(412) 220-7323
Fax
(412) 220-7325
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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 PC008048 PA Primary

Addresses

Primary practice location

300 Old Pond Rd Ste 201
Bridgeville, PA 15017-1270

Mailing address

300 Old Pond Rd Ste 201
Bridgeville, PA 15017-1270
Phone (412) 220-7323

Other names 1

  • Rachel Marie Joseph 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
I20240130003738 PA Practitioner - Mental Health Counselor 9234582800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ravi Kant, MD PCGroup PAC ID 7517003163, 5 clinicians

Practice addresses (Care Compare)

300 Old Pond Rd
Suite 201
Bridgeville, PA 15017-1270
Phone (412) 220-7323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC008048PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ravi Kant, MD PC CurrentSince Jan 1, 2024 Accepting new patients
Washington Psychological Services Past Accepting new patients
Ravi Kant, MD PC PastSince Mar 28, 2021 Accepting new patients

Locations

300 Old Pond Rd
Ste 201
Bridgeville, PA 15017
Phone (412) 220-7323

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1487020988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OLD POND RD STE 201",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171270",
            "telephone_number": "412-220-7323",
            "fax_number": "412-220-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD POND RD STE 201",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171270",
            "telephone_number": "412-220-7323",
            "fax_number": "412-220-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUBA",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "JOSEPH",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.