Individual provider Active NPI

Connor Rinebold

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1497400329
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3811 Ohara St
Pittsburgh, PA 15213-2561
Phone
(412) 488-6360
NPI assigned
Feb 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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 Primary

Addresses

Primary practice location

3811 Ohara St
Pittsburgh, PA 15213-2561

Mailing address

6060 Independence Way
Ontario, NY 14519-9155
Phone (585) 848-8237

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
I20240517001776 PA Practitioner - Mental Health Counselor 3577904879 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Behavioral Diagnostics and Treatment, LLCGroup PAC ID 8527313683, 8 clinicians
Samaritan Counseling Center of Western PAGroup PAC ID 3678826476, 12 clinicians

Practice addresses (Care Compare)

102 Broadway St
Suite 404
Carnegie, PA 15106-2486
Phone (412) 329-7778

2040 Washington Rd
Pittsburgh, PA 15241-1543
Phone (888) 200-9746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Presbyterian Shadyside CurrentSince May 14, 2024 Accepting new patients
Samaritan Counseling Center of Western PA CurrentSince Aug 1, 2024 Accepting new patients
Associates in Behavioral Diagnostics and Treatment, LLC CurrentSince Dec 1, 2025 Accepting new patients
Upmc Presbyterian Shadyside CurrentSince May 14, 2024 Accepting new patients
Associates in Behavioral Diagnostics and Treatment, LLC Professional PastSince Apr 28, 2024 Accepting new patients

Locations

102 Broadway St
Ste 404
Carnegie, PA 15106
Phone (412) 245-6080

1150 Thorn Run Road Ext
Ste 110
Moon Twp, PA 15108
Phone (412) 329-7778

2040 Washington Rd
Pittsburgh, PA 15241
Phone (412) 234-9137

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

Organizations & group practices 5

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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1497400329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 INDEPENDENCE WAY",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "145199155",
            "telephone_number": "585-848-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132561",
            "telephone_number": "412-488-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINEBOLD",
        "first_name": "CONNOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.