Individual provider Active NPI

Patricia Rae Sisak Brown, LPC

  • Professional Counselor
  • Indiana, PA
National Provider Identifier
1942158704
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC020086 Issued in PA
Practice address
625 Rustic Lodge Rd
Indiana, PA 15701-3403
Phone
(724) 349-6320
Fax
(724) 349-6359
NPI assigned
Mar 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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 PC020086 PA
Professional Counselor 101YP2500X PC020086 PA Primary

Addresses

Primary practice location

625 Rustic Lodge Rd
Indiana, PA 15701-3403

Mailing address

625 Rustic Lodge Rd
Indiana, PA 15701-3403
Phone (724) 349-6320

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
PC020086PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1942158704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 RUSTIC LODGE RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013403",
            "telephone_number": "724-349-6320",
            "fax_number": "724-349-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 RUSTIC LODGE RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013403",
            "telephone_number": "724-349-6320",
            "fax_number": "724-349-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISAK BROWN",
        "first_name": "PATRICIA",
        "middle_name": "RAE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC020086",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC020086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.