Active NPI
Michael Christiansen
- Mental Health Counselor
- Bridgeville, PA
National Provider Identifier
1952825747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC012224
- Practice address
- 100 Emerson LN Ste 1525
Bridgeville, PA 15017-3484 - Phone
- (412) 564-1172
- NPI assigned
- Aug 2, 2017
- Last updated
- Jun 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC012224 | PA | Primary |
Addresses
Primary practice location
100 Emerson LN Ste 1525
Bridgeville, PA 15017-3484
Mailing address
PO Box 70
Zelienople, PA 16063-0070
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC012224 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1952825747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70",
"city": "ZELIENOPLE",
"state": "PA",
"postal_code": "160630070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EMERSON LN STE 1525",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150173484",
"telephone_number": "412-564-1172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIANSEN",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-02",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC012224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeville, PA
- Children's Community Care (Children's Community Pediatrics)
- Children's Community Care (Children's Community Pediatrics)
- Children's Community Pediatrics (Children's Dermatology Services)
- Caroline Chismer
- Choice Healthcare LLC
- Christina Hostutler Counseling LLC
- Laura Cipriani, PHARMD
- Samantha Cirillo
- Allan W. Clark, M.D.
- Jeffrey E Clayton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.