Active NPI
Jessica Lynne Miceli, MS, LPC
- Professional Counselor
- Pittsburgh, PA
National Provider Identifier
1750034237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC010792
- Practice address
- 7950 Saltsburg Rd Ste 4
Pittsburgh, PA 15239-1974 - Phone
- (412) 944-6400
- NPI assigned
- Feb 3, 2022
- 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 | PC010792 | PA | Primary |
Addresses
Primary practice location
7950 Saltsburg Rd Ste 4
Pittsburgh, PA 15239-1974
Mailing address
4850 Hialeah Dr
Pittsburgh, PA 15239-2404
Phone (412) 607-8575
Other practice location 1
11676 Perry Hwy Ste 2108
Wexford, PA 15090-7202
Phone (412) 944-6400
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC010792 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robyn Crouch, LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Wexford, PA
- NPI 1578929006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1750034237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 HIALEAH DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152392404",
"telephone_number": "412-607-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 SALTSBURG RD STE 4",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152391974",
"telephone_number": "412-944-6400"
}
],
"practiceLocations": [
{
"address_1": "11676 Perry Hwy Ste 2108",
"address_purpose": "LOCATION",
"city": "Wexford",
"state": "PA",
"postal_code": "150907202",
"country_code": "US",
"telephone_number": "412-944-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICELI",
"first_name": "JESSICA",
"middle_name": "LYNNE",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-03",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC010792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.