Individual provider Active NPI

Stephanie Marasti-Georg, MS, PSYD

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1932620861
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC007561 Issued in PA
Practice address
68 Wabash St Ste 100
Pittsburgh, PA 15220-5435
Phone
(412) 455-6890
NPI assigned
Jun 30, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PC007561 PA Primary

Addresses

Primary practice location

68 Wabash St Ste 100
Pittsburgh, PA 15220-5435

Mailing address

68 Wabash St Ste 100
Pittsburgh, PA 15220-5435
Phone (412) 455-6890

Other names 1

  • Stephanie Geletko Former name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC007561PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Village Center for Holistic Therapy CurrentSince Jul 24, 2022 Accepting new patients

Locations

68 Wabash St
Ste 100
Pittsburgh, PA 15220
Phone (412) 455-6890

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932620861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 WABASH ST STE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152205435",
            "telephone_number": "412-455-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 WABASH ST STE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152205435",
            "telephone_number": "412-455-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARASTI-GEORG",
        "first_name": "STEPHANIE",
        "credential": "MS, PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GELETKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 21, 2022; 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.