Active NPI
Shaun M Kanouff
- Professional Counselor
- Indiana, PA
National Provider Identifier
1861937757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC017877
- Practice address
- 793 Old Route 119 Hwy N
Indiana, PA 15701-1372 - Phone
- (724) 465-5576
- Fax
- (724) 465-6379
- NPI assigned
- Dec 30, 2016
- Sex
- Male
- Sole proprietor
- No
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 | PC017877 | PA | Primary |
Addresses
Primary practice location
793 Old Route 119 Hwy N
Indiana, PA 15701-1372
Mailing address
793 Old Route 119 Hwy N
Indiana, PA 15701-1372
Phone (724) 465-5576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1861937757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "793 OLD ROUTE 119 HWY N",
"city": "INDIANA",
"state": "PA",
"postal_code": "157011372",
"telephone_number": "724-465-5576",
"fax_number": "724-465-6379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "793 OLD ROUTE 119 HWY N",
"city": "INDIANA",
"state": "PA",
"postal_code": "157011372",
"telephone_number": "724-465-5576",
"fax_number": "724-465-6379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANOUFF",
"first_name": "SHAUN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-30",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC017877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.