Individual provider Active NPI

Mindy M Mastruserio, MS, NCC, LPC, CCTPII

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1659617892
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009357 Issued in PA
Practice address
1051 Brinton Rd Ste 301D
Pittsburgh, PA 15221-4571
Phone
(412) 702-9936
NPI assigned
Dec 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X PC009357 PA Primary

Addresses

Primary practice location

1051 Brinton Rd Ste 301D
Pittsburgh, PA 15221-4571

Mailing address

1051 Brinton Rd Ste 301D
Pittsburgh, PA 15221-4571
Phone (412) 702-9936

Other practice location 1

201 N Braddock Ave Ste 235
Pittsburgh, PA 15208-2598
Phone (412) 702-9936

Other practice location 2

100 N Bellefield Ave
Pittsburgh, PA 15213-2600
Phone (412) 246-5400

Other names 1

  • Mindy M Donatelli Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC009357PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1659617892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 BRINTON RD STE 301D",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152214571",
            "telephone_number": "412-702-9936",
            "fax_number": "412-702-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 BRINTON RD STE 301D",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152214571",
            "telephone_number": "412-702-9936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Braddock Ave Ste 235",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152082598",
            "country_code": "US",
            "telephone_number": "412-702-9936",
            "fax_number": "412-702-9936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Bellefield Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132600",
            "country_code": "US",
            "telephone_number": "412-246-5400",
            "fax_number": "412-246-5450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTRUSERIO",
        "first_name": "MINDY",
        "middle_name": "M",
        "credential": "MS, NCC, LPC, CCTPII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-17",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "DONATELLI",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.