Individual provider Active NPI

Renee Christine Kinavey, MS ED, NCC, LPC

  • Professional Counselor
  • Canonsburg, PA
National Provider Identifier
1811265564
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005622 Issued in PA
Practice address
1100 Ashwood Dr
Suite 1101
Canonsburg, PA 15317-4981
Phone
(412) 921-3908
NPI assigned
Dec 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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 PC005622 PA Primary

Addresses

Primary practice location

1100 Ashwood Dr
Suite 1101
Canonsburg, PA 15317-4981

Mailing address

1100 Ashwood Dr
Suite 1101
Canonsburg, PA 15317-4981
Phone (412) 921-3908

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC005622PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1811265564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ASHWOOD DR",
            "address_2": "SUITE 1101",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174981",
            "telephone_number": "412-921-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ASHWOOD DR",
            "address_2": "SUITE 1101",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174981",
            "telephone_number": "412-921-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINAVEY",
        "first_name": "RENEE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "MS ED, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 8, 2011; 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.