Active NPI
Patrick Michael Condo, MSW
- Mental Health Counselor
- Irwin, PA
National Provider Identifier
1497819205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CW000227L
- Practice address
- 8981 Norwin Ave
Suite 101
Irwin, PA 15642-2746 - Phone
- (724) 864-3031
- Fax
- (724) 864-3032
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CW000227L | PA | Primary |
Addresses
Primary practice location
8981 Norwin Ave
Suite 101
Irwin, PA 15642-2746
Mailing address
8981 Norwin Ave
Suite 101
Irwin, PA 15642-2746
Phone (724) 864-3031
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 633827 | Other | PA | HIGHMARK |
| 110268 | Other | PA | VALUEOPTIONS |
| 4603776 | Other | PA | AETNA |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497819205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8981 NORWIN AVE",
"address_2": "SUITE 101",
"city": "IRWIN",
"state": "PA",
"postal_code": "156422746",
"telephone_number": "724-864-3031",
"fax_number": "724-864-3032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8981 NORWIN AVE",
"address_2": "SUITE 101",
"city": "IRWIN",
"state": "PA",
"postal_code": "156422746",
"telephone_number": "724-864-3031",
"fax_number": "724-864-3032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDO",
"first_name": "PATRICK",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "CW000227L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "633827",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "110268",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4603776",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irwin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.