Active NPI
Kiera Mallett
- Mental Health Counselor
- Wilkinsburg, PA
National Provider Identifier
1972086072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW133489
- Practice address
- 711 Penn Ave FL 2
Wilkinsburg, PA 15221-2216 - Phone
- (412) 241-4673
- NPI assigned
- Sep 13, 2018
- Last updated
- Sep 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | SW133489 | PA | Primary |
Addresses
Primary practice location
711 Penn Ave FL 2
Wilkinsburg, PA 15221-2216
Mailing address
814 Selby Way Apt 2
Pittsburgh, PA 15203-1114
Phone (708) 674-2161
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 |
|---|---|---|---|
| SW133489 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Towards Peace Counseling Services | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Wilkinsburg, PA
- NPI 1699023689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1972086072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 SELBY WAY APT 2",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152031114",
"telephone_number": "708-674-2161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 PENN AVE FL 2",
"city": "WILKINSBURG",
"state": "PA",
"postal_code": "152212216",
"telephone_number": "412-241-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLETT",
"first_name": "KIERA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "SW133489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilkinsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.