Individual provider Active NPI

Susan Joan Bosetti

  • Professional Counselor
  • Washington, PA
National Provider Identifier
1689338618
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005984 Issued in PA
Practice address
817 Jefferson Ave
Washington, PA 15301-3822
Phone
(412) 680-5689
NPI assigned
Oct 26, 2021
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005984 PA Primary
Rehabilitation Counselor 225C00000X 00110522 PA

Addresses

Primary practice location

817 Jefferson Ave
Washington, PA 15301-3822

Mailing address

817 Jefferson Ave
Washington, PA 15301-3822
Phone (724) 249-2517

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

State licenses

LicenseStateTypeSpecialty
PC005984PAMDProfessional Counselor
00110522PAMDRehabilitation Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Outreach Wellness Center CurrentSince Aug 1, 2022 Accepting new patients

Locations

817 Jefferson Ave
Washington, PA 15301
Phone (412) 680-5689

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": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1689338618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 JEFFERSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013822",
            "telephone_number": "724-249-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 JEFFERSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013822",
            "telephone_number": "412-680-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSETTI",
        "first_name": "SUSAN",
        "middle_name": "JOAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005984",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "PA",
            "license": "00110522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.