Donnelle Super, MSW

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5971 Teller Rd
Girard, PA 16417-9112

Phone

(814) 881-5299

NPI assigned

Dec 7, 2015

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, OH2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Donnelle Super Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Erie, PA
  • NPI 1770347577
  Medicare reassignment NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  OH, PA

  Medicare reassignment NPD
• Felisa V Read, PT, LLC

  • Early Intervention Provider Agency
  • Fairview, PA
  • NPI 1174918379
  NPD (past)
• Peak Performance Sports and Family Medicine LLC

  • Sports Medicine (Family Medicine) Physician
  • Erie, PA
  • NPI 1881429702
  NPD (past)

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1508231283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5971 TELLER RD",
            "city": "GIRARD",
            "state": "PA",
            "postal_code": "164179112",
            "telephone_number": "814-881-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5971 TELLER RD",
            "city": "GIRARD",
            "state": "PA",
            "postal_code": "164179112",
            "telephone_number": "814-881-5299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5971 Teller Rd",
            "address_purpose": "LOCATION",
            "city": "Girard",
            "state": "PA",
            "postal_code": "164179112",
            "country_code": "US",
            "telephone_number": "814-881-5299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUPER",
        "first_name": "DONNELLE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW138765",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Ann Sheldon
• Tiffany Simpkins, BSN
• Kristina Marie Solvedt
• Darren J Strain
• Jessica Leah Sumner
• Vadim Sychuk, PTA
• Timothy Taylor II
• The a F Dobler Hose and Ladder
• The Tamarkin Company (Giant Eagle Pharmacy 4050)
• Carrie Todd

• Counselor in Girard, PA
• Providers in Girard, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.