Individual provider Active NPI

Elizabeth A Sysak, MS.ED

  • Mental Health Counselor
  • Pittsburgh, PA
National Provider Identifier
1902156979
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
333 N Braddock Ave
Pittsburgh, PA 15208-2512
Phone
(412) 864-5050
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

333 N Braddock Ave
Pittsburgh, PA 15208-2512

Mailing address

9107 Clubhouse Rd
Presto, PA 15142-1570

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
I20250214000598 PA Practitioner - Mental Health Counselor 6608306071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conshohocken Center for Emotional HealthGroup PAC ID 0446539738, 3 clinicians

Practice addresses (Care Compare)

20 E 2ND Ave
Suite 100
Conshohocken, PA 19428-1880
Phone (484) 534-9686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Conshohocken Center for Emotional Health CurrentSince Jan 21, 2025 Accepting new patients

Locations

20 E 2nd Ave
Ste 100
Conshohocken, PA 19428
Phone (484) 534-9686

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1902156979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 CLUBHOUSE RD",
            "city": "PRESTO",
            "state": "PA",
            "postal_code": "151421570"
        },
        {
            "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": "412-864-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYSAK",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "MS.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.