Ellen Davidovich, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4705 Doverdell Dr
Pittsburgh, PA 15236-1826

Phone

(724) 255-2615

NPI assigned

Sep 1, 2016

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Davidovich Wellness Group, LLC

  • Mental Health Counselor
  • Pittsburgh, PA
  • NPI 1881434850
  NPD Authorized official

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1689121154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 DOVERDELL DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152361826",
            "telephone_number": "724-255-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 DOVERDELL DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152361826",
            "telephone_number": "724-255-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOVICH",
        "first_name": "ELLEN",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009961",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Gregory David, DPT
• Samantha David, DPT
• Tai Victoria David, DPT
• Diana Milena Davidek, M.D.
• Davidovich Wellness Group, LLC
• Amy Alise Davidson, DPM
• Eric Lowell Davidson, M.D.
• Krystle Davidson
• Melissa Davidson, OTR
• Nancy Ellen Davidson, M.D.

• Mental Health Counselor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.