Shannon Marie Berncic, MS, CRC, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC009452 Issued in PA

Practice address

117 Vip Dr Ste 310
Wexford, PA 15090-6936

Phone

(724) 471-4006

NPI assigned

Oct 22, 2017

Last updated

Jan 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Shannon Marie Sorge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellness for Life Counseling Services LLC

  • Professional Counselor
  • Pittsburgh, PA
  • NPI 1881394286
  NPD Authorized official

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

{
    "created_epoch": "1508630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1861903411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WESTCHESTER CMNS",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909681",
            "telephone_number": "412-439-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 VIP DR STE 310",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906936",
            "telephone_number": "724-471-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNCIC",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, CRC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-22",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC009452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "SORGE",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "MS, CRC, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan L Berger, DPT
• Alexa F Bergman, PA-C
• Elisabeth Calvo Bergman, MD
• Emily Rae Berkoben, MA
• Kaitlyn Bernadino, LSW
• Ashley Ann Berry, RBT
• David Alan Bertocchi, MD
• Anthony P Bertoni
• Kelly Berus, PA-C
• Lisa Marie Best, R.N.

• Counselor in Wexford, PA
• Providers in Wexford, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.