=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881567345
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KATE C KEGARISE LPC LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/29/2025
-----------------------------------------------------
Last Update Date | 09/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 590 S BRADDOCK AVE
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15221-3217
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-347-1635
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 590 S BRADDOCK AVE
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15221-3217
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-347-1635
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | KATHERINE KEGARISE
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 412-347-1635
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------