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NPI Code Detail

MEDICARE: ROSA ELLENBERGER LPC

MEDICARE: ROSA ELLENBERGER LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YM0800XMental Health CounselorPC018325PA
3101Y00000XCounselorPC018325PA

General Provider Information

NPI Number : 1548015324
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSA ELLENBERGER LPC
Provider Business Mailing Address
First Line : 2910 MCKELVEY RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15221-4542
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2910 MCKELVEY RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15221-4542
Country : US
Telephone Number : 412-587-6020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2024
Last Update Date : 02/16/2026

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Directions to “ ROSA ELLENBERGER LPC” Practice Location

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