Individual provider Active NPI

Terri Michelle Pattillo, LPC, NCC

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1801376512
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC010574 Issued in PA
Practice address
160 N Craig St Ste 112
Pittsburgh, PA 15213-2717
Phone
(412) 727-8264
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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 PC010574 PA Primary

Addresses

Primary practice location

160 N Craig St Ste 112
Pittsburgh, PA 15213-2717

Mailing address

160 N Craig St Ste 112
Pittsburgh, PA 15213-2717
Phone (412) 727-8264

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
PC010574PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Terri M. Pattillo Professional CurrentSince May 17, 2020 Accepting new patients
Holding Space and Grace, LLC Professional CurrentSince Jan 17, 2021 Accepting new patients

Locations

160 N Craig St
Ste 112
Pittsburgh, PA 15213
Phone (412) 576-7261

401 Shady Ave
Ste C106
Pittsburgh, PA 15206
Phone (412) 427-5747

311 S Craig St
#M4
Pittsburgh, PA 15213
Phone (412) 727-8264

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": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1801376512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N CRAIG ST STE 112",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132717",
            "telephone_number": "412-727-8264",
            "fax_number": "412-212-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N CRAIG ST STE 112",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132717",
            "telephone_number": "412-727-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTILLO",
        "first_name": "TERRI",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010574",
            "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 Sep 6, 2024; 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.