Individual provider Active NPI

Stephanie Kate Petchel, LPC

  • Professional Counselor
  • Canonsburg, PA
National Provider Identifier
1760068043
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012938 Issued in PA
Practice address
205 E McMurray Rd
Canonsburg, PA 15317-2954
Phone
(724) 941-0700
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC012938 PA Primary

Addresses

Primary practice location

205 E McMurray Rd
Canonsburg, PA 15317-2954

Mailing address

429 Parkridge Dr
Bethel Park, PA 15102-1447
Phone (412) 889-4605

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
I20260417001090 PA Practitioner - Mental Health Counselor 6002382967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC012938PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baywood Consulting LTD Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1760068043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 PARKRIDGE DR",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021447",
            "telephone_number": "412-889-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E MCMURRAY RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172954",
            "telephone_number": "724-941-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETCHEL",
        "first_name": "STEPHANIE",
        "middle_name": "KATE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.