NPIMap

Organization Active NPI

Counseling and Wellness Center of Pittsburgh

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1902202732
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC007895 Issued in PA
Legal business name
COUNSELING AND WELLNESS CENTER OF PITTSBURGH
Practice address
830 Western Ave
Pittsburgh, PA 15233-1772
Phone
(412) 322-2129
NPI assigned
Nov 5, 2014
Last updated
Dec 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Stephanie Wijkstrom, MA, LPC, NCCNPI 1023549854
Title
Therapist
Phone
(412) 316-7397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Medical Specialty Clinic/Center 261QM2500X NU
Counselor 101Y00000X NU
Professional Counselor 101YP2500X PC007895 PA Primary

Addresses

Primary practice location

830 Western Ave
Pittsburgh, PA 15233-1772

Mailing address

830 Western Ave
Pittsburgh, PA 15233-1772
Phone (412) 322-2129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241023000013 PA Part B Supplier - Clinic/Group Practice 7214460724 Receives reassigned benefits from 14 practitioners
Practice locations: Greensburg, PA; Canonsburg, PA; Seven Fields, PA; Pittsburgh, PA; Monroeville, PA

National Provider Directory

National Provider Directory

Locations

600 Rugh St
Ste 150
Greensburg, PA 15601
Phone (412) 322-2129

2000 Waterdam Plaza Dr
Ste 240
McMurray, PA 15317
Phone (724) 328-4637

2539 Monroeville Blvd
Monroeville, PA 15146
Phone (412) 322-2129

1010 Western Ave
Pittsburgh, PA 15233

830 Western Ave
Pittsburgh, PA 15233
Phone (412) 322-2129

400 Northpointe Cir
Ste 301
Seven Fields, PA 16046
Phone (412) 322-2129

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1902202732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 WESTERN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152331772",
            "telephone_number": "412-322-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 WESTERN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152331772",
            "telephone_number": "412-322-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND WELLNESS CENTER OF PITTSBURGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2023-12-01",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "WIJKSTROM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "412-316-7397",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.