Healthcare Provider Details

I. General information

NPI: 1962313767
Provider Name (Legal Business Name): STEVEN ROBERT GRADECK M.S., LAPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N MEADOWS DR STE 234
WEXFORD PA
15090-8368
US

IV. Provider business mailing address

107 VIOLET ST
PITTSBURGH PA
15229-1441
US

V. Phone/Fax

Practice location:
  • Phone: 412-380-0100
  • Fax:
Mailing address:
  • Phone: 412-736-1682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberAPC002861
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberAPC002861
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC002861
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC002861
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: