Active NPI
Micah Blaine Nagel
- Professional Counselor
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012303
- Practice address
- 2644 Banksville Rd
Pittsburgh, PA 15216-2812 - Phone
- (412) 343-7166
- NPI assigned
- Oct 13, 2020
- Sex
- Male
- 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 | PC012303 | PA | Primary |
Addresses
Primary practice location
2644 Banksville Rd
Pittsburgh, PA 15216-2812
Mailing address
143 Woodland Dr
Pleasant Hills, PA 15236-4115
Phone (724) 944-2018
Other practice location 1
250 Shady Ave
Pittsburgh, PA 15206-4316
Phone (412) 661-1800
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 |
|---|---|---|---|
| PC012303 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familylinks, Inc | Current | Accepting new patients |
Locations
250 Shady Ave
Pittsburgh, PA 15206
Phone (412) 639-1711
2644 Banksville Rd
Pittsburgh, PA 15216
Phone (412) 343-7166
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.
-
dba Parent and Child Guidance Center
- Community/Behavioral Health Agency
- Pittsburgh, PA
- NPI 1093832214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1487252326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 WOODLAND DR",
"city": "PLEASANT HILLS",
"state": "PA",
"postal_code": "152364115",
"telephone_number": "724-944-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2644 BANKSVILLE RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152162812",
"telephone_number": "412-343-7166"
}
],
"practiceLocations": [
{
"address_1": "250 Shady Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152064316",
"country_code": "US",
"telephone_number": "412-661-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAGEL",
"first_name": "MICAH",
"middle_name": "BLAINE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-13",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012303",
"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 Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.