Active NPI
Jennifer A. Peterson, LPC
- Professional Counselor
- Pittsburgh, PA
National Provider Identifier
1487147484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC006155
- Practice address
- 1016 Greentree Rd
Pittsburgh, PA 15220-3100 - Phone
- (412) 928-5940
- Fax
- (412) 928-5947
- NPI assigned
- Jun 13, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC006155 | PA | Primary |
Addresses
Primary practice location
1016 Greentree Rd
Pittsburgh, PA 15220-3100
Mailing address
311 Rouser Rd
Moon Township, PA 15108-6801
Phone (412) 604-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC006155 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1487147484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 ROUSER RD",
"city": "MOON TOWNSHIP",
"state": "PA",
"postal_code": "151086801",
"telephone_number": "412-604-8900",
"fax_number": "412-299-8757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 GREENTREE RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152203100",
"telephone_number": "412-928-5940",
"fax_number": "412-928-5947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "JENNIFER",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC006155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.