NPI Code Detail JSON Logo

1154276673 NPI number — TINA MICHELLE PETTIGREW

NPI Number: 1154276673
Health Care Provider/Practitioner: TINA MICHELLE PETTIGREW

Information about “1154276673” NPI (TINA MICHELLE PETTIGREW) exists in 1154276673 in HTML format HTML  |  1154276673 in plain Text format TXT  |  1154276673 in PDF (Portable Document Format) PDF  |  1154276673 in an XML format XML  formats.

NPI Number : 1154276673 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154276673",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TINA MICHELLE PETTIGREW",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5731 CENTRE AVE APT 9",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PITTSBURGH",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15206-3751",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "412-822-6190",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1903 COLUMBIA AVE UNIT 1F",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SWISSVALE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15218-1901",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-822-6190",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/02/2026",
    "LastUpdateDate": "03/02/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PETTIGREW",
    "AuthorizedOfficialFirstName": "TINA",
    "AuthorizedOfficialMiddleName": "MICHELLE",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC",
    "AuthorizedOfficialTelephoneNumber": "412-822-6190",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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