Healthcare Provider Details

I. General information

NPI: 1023464997
Provider Name (Legal Business Name): JONATHAN MCCOMAS LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2016
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 N CRAIG ST STE B
PITTSBURGH PA
15213-1569
US

IV. Provider business mailing address

230 N CRAIG ST STE B
PITTSBURGH PA
15213-1569
US

V. Phone/Fax

Practice location:
  • Phone: 610-892-3800
  • Fax:
Mailing address:
  • Phone: 610-892-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC008920
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC008920
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: