Individual provider Active NPI

Jenine Cole

  • Social Worker
  • Wexford, PA
National Provider Identifier
1750379822
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW012080L Issued in PA
Practice address
9983 Perry Hwy
Mercy Behavioral Health
Wexford, PA 15090-9297
Phone
(724) 933-8200
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW012080L PA Primary

Addresses

Primary practice location

9983 Perry Hwy
Mercy Behavioral Health
Wexford, PA 15090-9297

Mailing address

1200 Reedsdale St
Mercy Behavioral Health
Pittsburgh, PA 15233-2109

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenine.l.cole@upmcdirect.com UPMC

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
I20151111000283 PA Practitioner - Clinical Social Worker 2860702420 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW012080LPAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Mental Health, PC CurrentSince Aug 24, 2022 Accepting new patients
Upmc Advanced Practice Providers CurrentSince Oct 1, 2020 Accepting new patients
Upmc Advanced Practice Providers CurrentSince Oct 1, 2020 Accepting new patients

Locations

110 Hidden Valley Rd
McMurray, PA 15317
Phone (724) 941-4040

200 Lothrop St
Ste 10055B
Pittsburgh, PA 15213
Phone (412) 864-0594

117 Vip Dr
Ste 310
Wexford, PA 15090
Phone 7249343905205

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1750379822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 REEDSDALE ST",
            "address_2": "MERCY BEHAVIORAL HEALTH",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152332109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9983 PERRY HWY",
            "address_2": "MERCY BEHAVIORAL HEALTH",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909297",
            "telephone_number": "724-933-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JENINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW012080L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenine.l.cole@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.