Individual provider Active NPI

Domenic Jason Verdini, M.S.ED., L.P.C.

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1831383918
Registry record updated Mar 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC002627 Issued in PA
Practice address
1900 Murray Ave
Suite 301
Pittsburgh, PA 15217-1657
Phone
(412) 759-5918
NPI assigned
Aug 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2008

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 PC002627 PA Primary

Addresses

Primary practice location

1900 Murray Ave
Suite 301
Pittsburgh, PA 15217-1657

Mailing address

1900 Murray Ave
Suite 301
Pittsburgh, PA 15217-1657
Phone (412) 759-5918

Other identifiers 1

IdentifierTypeStateIssuer
1019786630001MedicaidPA

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
PC002627PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Pathways LLC Current Accepting new patients
DJV Management Current Accepting new patients

Locations

1900 Murray Ave
Ste 301
Pittsburgh, PA 15217
Phone (412) 224-2812

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": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204416000000",
    "number": "1831383918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MURRAY AVE",
            "address_2": "SUITE 301",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171657",
            "telephone_number": "412-759-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MURRAY AVE",
            "address_2": "SUITE 301",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171657",
            "telephone_number": "412-759-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDINI",
        "first_name": "DOMENIC",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "M.S.ED., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2008-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019786630001",
            "state": "PA"
        }
    ],
    "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 Mar 2, 2008; 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.