Individual provider Active NPI

Alicia F Schultz

  • Mental Health Counselor
  • Beaver, PA
National Provider Identifier
1841013588
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC000589 Issued in PA
Practice address
1607 3Rd St
Beaver, PA 15009-2420
Phone
(724) 728-8411
NPI assigned
Nov 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X APC000589 PA Primary

Addresses

Primary practice location

1607 3Rd St
Beaver, PA 15009-2420

Mailing address

1607 3Rd St
Beaver, PA 15009-2420
Phone (724) 728-8411

Other practice location 1

450 Glenwood Dr
Ambridge, PA 15003-2146
Phone (724) 396-1510

Other practice location 2

615 Penn Ave
New Brighton, PA 15066-1312
Phone (724) 396-1510

Other names 1

  • Alicia F Conklin Former name

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
APC000589PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Counseling Associates of Western Pennsylvania PastSince May 21, 2023 Accepting new patients
Christian Counseling Associates of Western Pennsylvania PastSince Dec 17, 2023 Accepting new patients

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": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1841013588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 3RD ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092420",
            "telephone_number": "724-728-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 3RD ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092420",
            "telephone_number": "724-728-8411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Glenwood Dr",
            "address_purpose": "LOCATION",
            "city": "Ambridge",
            "state": "PA",
            "postal_code": "150032146",
            "country_code": "US",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 Penn Ave",
            "address_purpose": "LOCATION",
            "city": "New Brighton",
            "state": "PA",
            "postal_code": "150661312",
            "country_code": "US",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "ALICIA",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "APC000589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "CONKLIN",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.