NPIMap

Organization Active NPI

Ethanna, Inc

Doing business as Ellie Mental Health

  • Mental Health Counselor
  • Pittsburgh, PA
National Provider Identifier
1902672280
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ETHANNA, INC
Doing business as
Ellie Mental Health
Practice address
2600 Old Washington Rd Ste 150
Pittsburgh, PA 15241-2595
Phone
(412) 910-1962
Fax
(412) 532-9767
NPI assigned
Nov 28, 2023
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Mrs. Sharon S Traumuller
Title
President/Owner
Phone
(412) 973-8661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2600 Old Washington Rd Ste 150
Pittsburgh, PA 15241-2595

Mailing address

310 Sugarwood Dr
Venetia, PA 15367-2363
Phone (412) 973-8661

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240515002552 PA Part B Supplier - Clinic/Group Practice 6305287814 Receives reassigned benefits from 2 practitioners
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

2600 Old Washington Rd
Ste 150
Upper St Clair, PA 15241
Phone (412) 854-3627

2600 Old Washington Rd
Uppr St Clair, PA 15241
Phone (412) 402-9029

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1902672280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SUGARWOOD DR",
            "city": "VENETIA",
            "state": "PA",
            "postal_code": "153672363",
            "telephone_number": "412-973-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OLD WASHINGTON RD STE 150",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152412595",
            "telephone_number": "412-910-1962",
            "fax_number": "412-532-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHANNA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "TRAUMULLER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "412-973-8661",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 20, 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.