Individual provider Active NPI

Abigail Stambul, LPC, MA, NCC

  • Professional Counselor
  • Bessemer, PA
National Provider Identifier
1629687355
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012438 Issued in PA
Practice address
3 E Poland Ave
Bessemer, PA 16112-9109
Phone
(724) 730-5708
NPI assigned
Jul 28, 2020
Last updated
Jul 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 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 PC012438 PA Primary

Addresses

Primary practice location

3 E Poland Ave
Bessemer, PA 16112-9109

Mailing address

145 Martin School Rd
Enon Valley, PA 16120-1201
Phone (724) 730-5708

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
I20240429002670 PA Practitioner - Mental Health Counselor 4587004502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3 E Poland Ave
Bessemer, PA 16112-9109
Phone (724) 730-5708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Up Counseling, LLC Single Specialty CurrentSince Apr 1, 2024 Accepting new patients

Locations

3 E Poland Ave
Bessemer, PA 16112
Phone (330) 720-4912

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1629687355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MARTIN SCHOOL RD",
            "city": "ENON VALLEY",
            "state": "PA",
            "postal_code": "161201201",
            "telephone_number": "724-730-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E POLAND AVE",
            "city": "BESSEMER",
            "state": "PA",
            "postal_code": "161129109",
            "telephone_number": "724-730-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMBUL",
        "first_name": "ABIGAIL",
        "name_prefix": "Mrs.",
        "credential": "LPC, MA, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, PA

Sources for this page

Verify at the official NPI Registry.