Individual provider Active NPI

Jess Ronald Tambellini

  • Addiction (Substance Use Disorder) Counselor
  • Wilkinsburg, PA
National Provider Identifier
1992383491
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
225 Penn Ave
Wilkinsburg, PA 15221-2148
Phone
(412) 864-5300
NPI assigned
Mar 29, 2021
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

225 Penn Ave
Wilkinsburg, PA 15221-2148

Mailing address

225 Penn Ave
Wilkinsburg, PA 15221-2148
Phone (412) 864-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • 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
I20240517003640 PA Practitioner - Clinical Social Worker 0547601783 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Presbyterian Shadyside CurrentSince May 1, 2024 Accepting new patients
Upmc Presbyterian Shadyside CurrentSince May 1, 2024 Accepting new patients

Locations

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

225 Penn Ave
Wilkinsburg, PA 15221
Phone (412) 247-2400

Interoperability endpoints

  • Direct secure messaging: jess.r.tambellini@upmcdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1992383491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PENN AVE",
            "city": "WILKINSBURG",
            "state": "PA",
            "postal_code": "152212148",
            "telephone_number": "412-864-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PENN AVE",
            "city": "WILKINSBURG",
            "state": "PA",
            "postal_code": "152212148",
            "telephone_number": "412-864-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBELLINI",
        "first_name": "JESS",
        "middle_name": "RONALD",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkinsburg, PA

Sources for this page

Verify at the official NPI Registry.