Individual provider Active NPI

Courtney M Minerd, PH.D.

  • Counseling Psychologist
  • Greensburg, PA
National Provider Identifier
1518367499
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PS017655 Issued in PA
Practice address
225 Humphrey Rd
Suite 4
Greensburg, PA 15601
Phone
(724) 832-9093
Fax
(724) 832-2249
NPI assigned
Aug 28, 2014
Last updated
Sep 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PS017655 PA Primary

Addresses

Primary practice location

225 Humphrey Rd
Suite 4
Greensburg, PA 15601

Mailing address

225 Humphrey Rd
Suite 4
Greensburg, PA 15601-4571
Phone (724) 832-9093

Other names 1

  • Courtney M Ryan 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
I20141117001276 PA Practitioner - Clinical Psychologist 2264654706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oldenburg Psychological Services IncGroup PAC ID 0042433781, 3 clinicians

Practice addresses (Care Compare)

225 Humphrey Rd
Suite 4
Greensburg, PA 15601-4571

911 Ligonier St
Suite 107
Latrobe, PA 15650-1805
Phone (724) 832-9096

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oldenburg Psychological Services Inc CurrentSince Sep 17, 2014 Accepting new patients

Locations

225 Humphrey Rd
Ste 4
Greensburg, PA 15601
Phone (724) 832-9096

235 Humphrey Rd
Ste 6
Greensburg, PA 15601
Phone (724) 832-9096

911 Ligonier St
Ste 107
Latrobe, PA 15650
Phone (724) 832-9096

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

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1518367499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HUMPHREY RD",
            "address_2": "SUITE 4",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014571",
            "telephone_number": "724-832-9093",
            "fax_number": "724-832-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HUMPHREY RD",
            "address_2": "SUITE 4",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-832-9093",
            "fax_number": "724-832-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINERD",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS017655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "RYAN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.