Individual provider Active NPI

Anastasha Marie Earl, PHD, MS, NCC

  • Counselor
  • Washington, PA
National Provider Identifier
1497599096
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
90 W Chestnut St
Washington, PA 15301-4524
Phone
(412) 492-4376
NPI assigned
Jun 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

90 W Chestnut St
Washington, PA 15301-4524

Mailing address

310 Oak Ave
Elizabeth, PA 15037-1630
Phone (412) 370-5544

Other names 1

  • Anastasha Marie Homa Former name

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
I20260407004326 PA Practitioner - Mental Health Counselor 4880169804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2001 Waterdam Plaza Dr
Suite 201
Canonsburg, PA 15317-5416

400 Southpointe Blvd
Suite 105
Canonsburg, PA 15317-8590

National Provider Directory

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1497599096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 OAK AVE",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150371630",
            "telephone_number": "412-370-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W CHESTNUT ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014524",
            "telephone_number": "412-492-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARL",
        "first_name": "ANASTASHA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD, MS, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANASTASHA",
            "last_name": "HOMA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.