Individual provider Active NPI

Mary Christine Loftus

  • Professional Counselor
  • Moon Township, PA
National Provider Identifier
1932886397
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC017620 Issued in PA
Practice address
1600 Coraopolis Heights Rd Ste E
Moon Township, PA 15108-4316
Phone
(317) 690-4070
NPI assigned
Jun 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39004578A IN
Professional Counselor 101YP2500X PC017620 PA Primary

Addresses

Primary practice location

1600 Coraopolis Heights Rd Ste E
Moon Township, PA 15108-4316

Mailing address

651 Main St
Wheeling, WV 26003-2525
Phone (317) 690-4070

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mary.c.loftus@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • 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
I20231118000522 IN Practitioner - Mental Health Counselor 3274981907 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC017620PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Network, Inc CurrentSince Jan 1, 2024 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Childen'S Community Care CurrentSince Sep 29, 2024 Accepting new patients
Childrens Community Pediatrics PastSince Sep 29, 2024 Accepting new patients

Locations

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

1525 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 322-4087

1600 Coraopolis Heights Rd
Ste E
Moon Twp, PA 15108
Phone (412) 262-2415

Organizations & group practices 4

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": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1932886397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 MAIN ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260032525",
            "telephone_number": "317-690-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CORAOPOLIS HEIGHTS RD STE E",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084316",
            "telephone_number": "317-690-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTUS",
        "first_name": "MARY",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2024-10-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004578A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.c.loftus@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

Verify at the official NPI Registry.