Bobbi Jo Witham, MA, NCC, LPC, BC-TMH

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC004566 Issued in PA

Practice address

50 Berry Rd
Washington, PA 15301-2768

Phone

(724) 705-9535

NPI assigned

Oct 9, 2007

Last updated

Aug 25, 2023By 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 2

Addresses

Other names 1

• Bobbi Jo Wendel Former name

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

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanderson Psychological LLCGroup PAC ID 0941572184, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Sanderson Psychological, LLC

  • Community/Behavioral Health Agency
  • Elizabeth, PA
  • NPI 1699212431
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1619165347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BERRY RD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153012768",
            "telephone_number": "724-705-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BERRY RD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153012768",
            "telephone_number": "724-705-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHAM",
        "first_name": "BOBBI",
        "middle_name": "JO",
        "credential": "MA, NCC, LPC, BC-TMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2632",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBI",
            "last_name": "WENDEL",
            "middle_name": "JO",
            "credential": "MA, NCC, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wimert Home I
• Wimert Home II
• Wink Chiropractic & Rehabilitation Center, Inc.
• Keith C Winkleblech, DC
• Christine D. Wissner, MSW, LSW, MDIV
• Marianne Wizda, M.D.
• Paul Wojtach, PT, DPT
• Diane Marie Wolf, OTR/L
• Vincent V Wood, DNP
• Tamatha Woods

• Professional Counselor in Washington, PA
• Providers in Washington, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.