Individual provider Active NPI

Pauline Amaismeier, MS, LPC, NCC, RN- BC

  • Mental Health Counselor
  • Canonsburg, PA
National Provider Identifier
1689784597
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC005009 Issued in PA
Practice address
4160 Washington Rd Ste 217
Canonsburg, PA 15317-2533
Phone
(724) 914-1252
Fax
(888) 244-7140
NPI assigned
Aug 30, 2006
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 PC005009 PA
Mental Health Counselor 101YM0800X PC005009 PA Primary

Addresses

Primary practice location

4160 Washington Rd Ste 217
Canonsburg, PA 15317-2533

Mailing address

4160 Washington Rd Ste 217
Canonsburg, PA 15317-2533
Phone (724) 914-1252

Other identifiers 1

IdentifierTypeStateIssuer
102433210MedicaidPA

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
I20240109000686 PA Practitioner - Mental Health Counselor 2466765078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meredith Counseling and Consulting LLCGroup PAC ID 3173860079, 3 clinicians

Practice addresses (Care Compare)

4160 Washington Rd
Suite 217
MC Murray, PA 15317-2533
Phone (724) 914-1252

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PC005009PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meredith Counseling and Consulting, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Counseling and Trauma Services LLC Professional PastSince May 8, 2015 Accepting new patients

Locations

4160 Washington Rd
Ste 217
McMurray, PA 15317
Phone (724) 398-4433

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1689784597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 WASHINGTON RD STE 217",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172533",
            "telephone_number": "724-914-1252",
            "fax_number": "888-244-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 WASHINGTON RD STE 217",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172533",
            "telephone_number": "724-914-1252",
            "fax_number": "888-244-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAISMEIER",
        "first_name": "PAULINE",
        "credential": "MS, LPC, NCC, RN- BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005009",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC005009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102433210",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.