Individual provider Active NPI

Polina Kitsis Harris, NCC, LPC

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1568008688
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012014 Issued in PA
Practice address
9401 McKnight Rd Ste 105
Pittsburgh, PA 15237-6000
Phone
(412) 367-0575
NPI assigned
Nov 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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 PC012014 PA Primary

Addresses

Primary practice location

9401 McKnight Rd Ste 105
Pittsburgh, PA 15237-6000

Mailing address

5557 Hobart St Apt 14
Pittsburgh, PA 15217-1989
Phone (440) 342-6903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 8, 2024 through Feb 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC012014PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Psychotherapy Associates Professional CurrentSince Nov 5, 2023 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Locations

9401 McKnight Rd
Ste 105
Pittsburgh, PA 15237
Phone (412) 367-0575

Interoperability endpoints

  • Direct secure messaging: polinaharris@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1574553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1568008688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5557 HOBART ST APT 14",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171989",
            "telephone_number": "440-342-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 MCKNIGHT RD STE 105",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152376000",
            "telephone_number": "412-367-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "POLINA",
        "middle_name": "KITSIS",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-24",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.