Healthcare Provider Details

I. General information

NPI: 1194686949
Provider Name (Legal Business Name): KINSEY ELIZABETH CHERAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 BINGHAM ST
PITTSBURGH PA
15203-1009
US

IV. Provider business mailing address

809 BINGHAM ST
PITTSBURGH PA
15203-1009
US

V. Phone/Fax

Practice location:
  • Phone: 412-308-0100
  • Fax:
Mailing address:
  • Phone: 412-308-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC002573
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: