Active NPI
Domenic Jason Verdini, M.S.ED., L.P.C.
- Professional Counselor
- Pittsburgh, PA
National Provider Identifier
1831383918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC002627
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019786630001 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC002627 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
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- Pittsburgh, PA
- NPI 1285162982
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Pittsburgh, PA
- NPI 1083824023
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.