Individual provider Active NPI

Angelica Joy Miskanin, MA, ATR-BC, LPC

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1992262406
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC010904 Issued in PA
Practice address
5743 Bartlett St
Pittsburgh, PA 15217-1515
Phone
(412) 422-7200
NPI assigned
Feb 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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 PC010904 PA Primary

Addresses

Primary practice location

5743 Bartlett St
Pittsburgh, PA 15217-1515

Mailing address

5743 Bartlett St
Pittsburgh, PA 15217-1515
Phone (412) 422-7200

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
I20240620000197 PA Practitioner - Mental Health Counselor 0749723625 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC010904PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Childrens Service CurrentSince Apr 8, 2024 Accepting new patients
Jewish Family & Childrens Service Professional CurrentSince Apr 8, 2024 Accepting new patients

Locations

5743 Bartlett St
Pittsburgh, PA 15217
Phone (412) 422-7200

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": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1992262406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5743 BARTLETT ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171515",
            "telephone_number": "412-422-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 BARTLETT ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171515",
            "telephone_number": "412-422-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKANIN",
        "first_name": "ANGELICA",
        "middle_name": "JOY",
        "credential": "MA, ATR-BC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.