William Ross Ainsworth, LPC
Individual provider Active NPI Professional Counselor · Slippery Rock, PA
NPI 1629047741 · NPPES record last updated Nov 17, 2014
Key facts
- NPI
- 1629047741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC001270 (PA)
- Practice address
- 164 S Main St
Slippery Rock, PA 16057-1245 - Phone
- (724) 794-1404
- Fax
- (724) 794-1804
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2436 | PA | MD | Addiction (Substance Use Disorder) Counselor |
| PC001270 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William R. Ainsworth Professional Counseling Services LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2436 | PA | |
| Mental Health Counselor | 101YM0800X | PC001270 | PA | |
| Professional Counselor | 101YP2500X | PC001270 | PA | Yes |
Addresses
Primary practice location
164 S Main St
Slippery Rock, PA 16057-1245
Mailing address
228 Franklin Street
Slippery Rock, PA 16057
Phone (724) 794-1404
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001488360 | Other | PA | HIGHMARK BLUE CROSS BLUE |
| 1009378620001 | Medicaid | PA | |
| 188688 | Other | PA | VALUE OPTIONS AND VALUE |
| 1009378620003 | Medicaid | PA |
Other providers in Slippery Rock, PA
- 3 Pauls, LLC
- David Charles Albert
- Allegheny Clinic
- Allegheny Health Network
- Allied Dental Group
- Jeremy Athelstone
All providers in Slippery Rock, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.