Active NPI
Stephanie Anne Davis, LPC
- Professional Counselor
- Pittsburgh, PA
National Provider Identifier
1639763592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC013018
- Practice address
- 830 Western Ave
Pittsburgh, PA 15233-1772 - Phone
- (412) 322-2129
- NPI assigned
- Feb 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC013018 | PA | Primary |
Addresses
Primary practice location
830 Western Ave
Pittsburgh, PA 15233-1772
Mailing address
118 Drood LN
Pittsburgh, PA 15237-2340
Phone (412) 606-2704
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Pittsburgh | ||
| CONNECT URL | Pittsburgh |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling and Wellness Center of Pittsburgh | Professional | Current | Accepting new patients |
Locations
830 Western Ave
Pittsburgh, PA 15233
Phone (412) 322-2129
830 Western Ave
#A
Pittsburgh, PA 15233
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 and National Provider Directory roles.
-
- Professional Counselor
- Pittsburgh, PA
- NPI 1902202732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1639763592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 DROOD LN",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152372340",
"telephone_number": "412-606-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 WESTERN AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152331772",
"telephone_number": "412-322-2129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "STEPHANIE",
"middle_name": "ANNE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC013018",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Pittsburgh",
"affiliation": "N",
"address_1": "830 Western Ave",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152331772",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Pittsburgh",
"affiliation": "N",
"address_1": "830 Western Ave",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152331772",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.