Individual provider Active NPI

Caroline Ydstie, LCSW

  • Mental Health Counselor
  • Pittsburgh, PA
National Provider Identifier
1912666728
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CW022151 Issued in PA
Practice address
9401 McKnight Rd Ste 302
Pittsburgh, PA 15237-6000
Phone
(412) 322-2129
NPI assigned
Dec 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X CW022151 PA Primary

Addresses

Primary practice location

9401 McKnight Rd Ste 302
Pittsburgh, PA 15237-6000

Mailing address

9401 McKnight Rd Ste 302
Pittsburgh, PA 15237-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW022151PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Wellness Center of Pittsburgh Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients

Locations

9401 McKnight Rd
Ste 302
Pittsburgh, PA 15237
Phone (412) 322-2129

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": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1912666728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 MCKNIGHT RD STE 302",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152376000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 MCKNIGHT RD STE 302",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152376000",
            "telephone_number": "412-322-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YDSTIE",
        "first_name": "CAROLINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW022151",
            "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 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.