Individual provider Active NPI

Nancy Wentsch Witte

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1962691865
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
004582 Issued in PA
Practice address
6324 Marchand St
Pittsburgh, PA 15206-4312
Phone
(412) 661-1239
Fax
(412) 661-1304
NPI assigned
Oct 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 004582 PA Primary
Professional Counselor 101YP2500X E3356 OH

Addresses

Primary practice location

6324 Marchand St
Pittsburgh, PA 15206-4312

Mailing address

6324 Marchand St
Pittsburgh, PA 15206-4312
Phone (412) 661-1239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240319000850 MA Practitioner - Mental Health Counselor 2668819269 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3356OHMDProfessional Counselor
004582PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Mental Health Center, Inc. CurrentSince Jan 24, 2024 Accepting new patients

Locations

1501 Washington St
Braintree, MA 02184
Phone (617) 745-2709

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": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1962691865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6324 MARCHAND ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064312",
            "telephone_number": "412-661-1239",
            "fax_number": "412-661-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 MARCHAND ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064312",
            "telephone_number": "412-661-1239",
            "fax_number": "412-661-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTE",
        "first_name": "NANCY",
        "middle_name": "WENTSCH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "004582",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E3356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.