Individual provider Active NPI

Nicole Marie Penberg, LPC

  • Mental Health Counselor
  • Pittsburgh, PA
National Provider Identifier
1821776618
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC005491 Issued in PA
Practice address
145 44TH St
Pittsburgh, PA 15201-3038
Phone
(412) 212-3029
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005491 PA
Mental Health Counselor 101YM0800X PC005491 PA Primary

Addresses

Primary practice location

145 44TH St
Pittsburgh, PA 15201-3038

Mailing address

145 44TH St
Pittsburgh, PA 15201-3038
Phone (412) 212-3029

Other practice location 1

5155 Keystone St
Pittsburgh, PA 15201-2539
Phone (412) 302-0918

Other names 1

  • Niki Penberg Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 9, 2025 through Dec 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC005491PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Path Counseling LLC CurrentSince Jul 9, 2025 Accepting new patients

Locations

145 44th St
Pittsburgh, PA 15201
Phone (412) 212-3029

145 44th St
Fl 3
Pittsburgh, PA 15201

Organizations & group practices 1

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1821776618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 44TH ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152013038",
            "telephone_number": "412-212-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 44TH ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152013038",
            "telephone_number": "412-212-3029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5155 Keystone St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152012539",
            "country_code": "US",
            "telephone_number": "412-302-0918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENBERG",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005491",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC005491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKI",
            "last_name": "PENBERG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.