Individual provider Active NPI

Tashawn Monique Nichols, LPC

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1982308169
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014470 Issued in PA
Practice address
250 Shady Ave
Pittsburgh, PA 15206-4316
Phone
(866) 583-6003
NPI assigned
Mar 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC014470 PA Primary

Addresses

Primary practice location

250 Shady Ave
Pittsburgh, PA 15206-4316

Mailing address

401 N Highland Ave
Pittsburgh, PA 15206-2926
Phone (866) 583-6003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240718003520 PA Practitioner - Mental Health Counselor 4284170960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanant Counseling and Wellness LLCGroup PAC ID 2264839547, 2 clinicians

Practice addresses (Care Compare)

134 S Highland Ave
Unit 9
Pittsburgh, PA 15206-3968
Phone (412) 816-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC014470PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Familylinks, Inc CurrentSince Apr 6, 2023 Accepting new patients
Sanant Counseling & Wellness, LLC CurrentSince Jun 20, 2024 Accepting new patients

Locations

100 James Pl
Unit B
Monroeville, PA 15146
Phone (412) 206-9316

134 S Highland Ave
Unit 9
Pittsburgh, PA 15206
Phone (412) 816-9300

250 Shady Ave
Pittsburgh, PA 15206
Phone (412) 639-1711

134 S Highland Ave
Ste 39
Pittsburgh, PA 15206
Phone (412) 816-9300

Organizations & group practices 2

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": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1982308169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N HIGHLAND AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152062926",
            "telephone_number": "866-583-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SHADY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064316",
            "telephone_number": "866-583-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TASHAWN",
        "middle_name": "MONIQUE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.