Individual provider Active NPI

Marissa Umble

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1881203693
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC016947 Issued in PA
Practice address
333 N Braddock Ave
Pittsburgh, PA 15208-2512
Phone
(412) 864-5004
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC016947 PA Primary

Addresses

Primary practice location

333 N Braddock Ave
Pittsburgh, PA 15208-2512

Mailing address

333 N Braddock Ave
Pittsburgh, PA 15208-2512
Phone (412) 864-5004

Other practice location 1

3495 Butler St Ste 3
Pittsburgh, PA 15201-1375
Phone (412) 857-3717

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address umblem@upmc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916001677 PA Practitioner - Mental Health Counselor 1951842186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samkirk, LLCGroup PAC ID 0648715524, 4 clinicians

Practice addresses (Care Compare)

3495 Butler St
Suite 3
Pittsburgh, PA 15201-1375
Phone (412) 857-3717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC016947PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Samkirk LLC Professional CurrentSince Aug 23, 2024 Accepting new patients

Locations

3495 Butler St
Ste 3
Pittsburgh, PA 15201
Phone (412) 357-8717

Organizations & group practices 1

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1881203693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N BRADDOCK AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152082512",
            "telephone_number": "412-864-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N BRADDOCK AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152082512",
            "telephone_number": "412-864-5004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3495 BUTLER ST STE 3",
            "address_purpose": "LOCATION",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152011375",
            "country_code": "US",
            "telephone_number": "412-857-3717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMBLE",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "umblem@upmc.edu",
            "affiliation": "N",
            "address_1": "333 N Braddock Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152082512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.