Individual provider Active NPI

Micah Blaine Nagel

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1487252326
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012303 Issued in PA
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

Updated by the provider on Oct 13, 2020

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 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

LicenseStateTypeSpecialty
PC012303PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Familylinks, Inc CurrentSince Oct 31, 2011 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.

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.

Verify at the official NPI Registry.