Shape Mental Health & Wellness, LLC.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SHAPE MENTAL HEALTH & WELLNESS, LLC.

Practice address

100 Global View Dr
Warrendale, PA 15086-7612

Phone

(412) 518-2158

NPI assigned

Jun 8, 2023

Last updated

Jun 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradford James Hanes, MS, MBA, LPC, NCC

Title

Owner / Therapist

Phone

(412) 518-2158

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1841984010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GLOBAL VIEW DR",
            "city": "WARRENDALE",
            "state": "PA",
            "postal_code": "150867612",
            "telephone_number": "412-518-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GLOBAL VIEW DR",
            "city": "WARRENDALE",
            "state": "PA",
            "postal_code": "150867612",
            "telephone_number": "412-518-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPE MENTAL HEALTH & WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "HANES",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER / THERAPIST",
        "authorized_official_telephone_number": "412-518-2158",
        "authorized_official_credential": "MS, MBA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Rizk
• Rebecca Marie Robertson
• Jeffrey W Rockacy, DMD, MD
• Katie Sciulli, PHARMD
• David Frank Senko, MS, RPH
• Andy Shieh, DMD
• Kaitlin Simonette, MA
• Mary Jo Smiley, CMTPT, LMT, CMMT
• Amy Stahl
• Lisa Stininger, LCSW, CAADC, CTP

• Mental Health Counselor in Warrendale, PA
• Providers in Warrendale, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.