Justin James Koleny, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1011 Bingham St FL 1
Pittsburgh, PA 15203-1101

Phone

(412) 235-5365

Fax

(412) 235-5322

NPI assigned

Oct 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  PA

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1497398903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BINGHAM ST FL 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031101",
            "telephone_number": "412-235-5365",
            "fax_number": "412-235-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BINGHAM ST FL 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031101",
            "telephone_number": "412-235-5365",
            "fax_number": "412-235-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLENY",
        "first_name": "JUSTIN",
        "middle_name": "JAMES",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jered Benjamin Kolbert, LPC
• Amy Satterthwaite Kolde, OTR/L
• Grant David Kolde, MD
• Ayse Betul Kolemen
• Allison Kathryn Koleny, CRNP
• Matthew Kolevar
• Brian Kolich, MD
• Emily Kolk, RN
• David J Kolko, PH.D.
• James D Koll, RPH

• Mental Health Counselor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.