Individual provider Active NPI

Elise Klavon, MS

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1487424248
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC018056 Issued in PA
Practice address
5840 Ellsworth Ave Ste 104
Pittsburgh, PA 15232-1727
Phone
(412) 921-3908
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X PC018056 PA Primary

Addresses

Primary practice location

5840 Ellsworth Ave Ste 104
Pittsburgh, PA 15232-1727

Mailing address

46 S 15TH St
Pittsburgh, PA 15203-1525
Phone (412) 577-8980

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
I20250702004425 PA Practitioner - Mental Health Counselor 5890208698 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PC018056PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Apr 25, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Apr 25, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Current Accepting new patients

Locations

5840 Ellsworth Ave
Ste 104
Pittsburgh, PA 15232
Phone (412) 628-1326

560 Van Reed Rd
Ste 301
Wyomissing, PA 19610
Phone (610) 378-9601

Interoperability endpoints

  • Direct secure messaging: elise.klavon.1@28623.direct.athenahealth.com

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": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1487424248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 S 15TH ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031525",
            "telephone_number": "412-577-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 ELLSWORTH AVE STE 104",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321727",
            "telephone_number": "412-921-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAVON",
        "first_name": "ELISE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC018056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.