Lynn Gustafson, PHD LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC004333 Issued in PA

Practice address

414-416 Allegheny River Blvd
Sutie 201
Oakmont, PA 15139-1754

Phone

(412) 828-0765

Fax

(412) 828-5660

NPI assigned

Apr 24, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1801030515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414-416 ALLEGHENY RIVER BLVD",
            "address_2": "SUTIE 201",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391754",
            "telephone_number": "412-828-0765",
            "fax_number": "412-828-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414-416 ALLEGHENY RIVER BLVD",
            "address_2": "SUTIE 201",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391754",
            "telephone_number": "412-828-0765",
            "fax_number": "412-828-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PHD LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC004333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Oakmont, PA
• Providers in Oakmont, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.