Healthcare Provider Details

I. General information

NPI: 1013827229
Provider Name (Legal Business Name): JTB INDEPENDENT CARE CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 VANN DR
PITTSBURGH PA
15206-2351
US

IV. Provider business mailing address

PO BOX 81145
PITTSBURGH PA
15217-0645
US

V. Phone/Fax

Practice location:
  • Phone: 412-342-8557
  • Fax:
Mailing address:
  • Phone: 412-241-7106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225CA2500X
TaxonomyAssistive Technology Supplier Rehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANDREA BULLOCK
Title or Position: CEO/OWNER
Credential:
Phone: 412-342-8557