Individual provider Active NPI

Christine Addessi

  • Counselor
  • Canonsburg, PA
National Provider Identifier
1780136309
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC011065 Issued in PA
Practice address
125 Technology Dr Ste 104
Canonsburg, PA 15317-9557
Phone
(412) 922-1566
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X WV
Counselor 101Y00000X PC011065 PA Primary

Addresses

Primary practice location

125 Technology Dr Ste 104
Canonsburg, PA 15317-9557

Mailing address

2275 Swallow Hill Rd Ste 3
Pittsburgh, PA 15220-1656
Phone (412) 922-1566

Other practice location 1

1215A Stewart Plz
Dunbar, WV 25064-3021
Phone (304) 483-1603

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL christine.sikorskI@hotmail.com

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
PC011065PAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1780136309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 SWALLOW HILL RD STE 3",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201656",
            "telephone_number": "412-922-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TECHNOLOGY DR STE 104",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179557",
            "telephone_number": "412-922-1566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215A Stewart Plz",
            "address_purpose": "LOCATION",
            "city": "Dunbar",
            "state": "WV",
            "postal_code": "250643021",
            "country_code": "US",
            "telephone_number": "304-483-1603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADDESSI",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC011065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "christine.sikorskI@hotmail.com",
            "affiliation": "N",
            "address_1": "125 Technology Dr Ste 104",
            "city": "Canonsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153179557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.