MEDICARE: CHRISTIAN COUNSELING ASSOCIATES OF WESTERN PENNSYLVANIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1174478382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTIAN COUNSELING ASSOCIATES OF WESTERN PENNSYLVANIA

Provider Business Mailing Address
First Line	:	101 PEMBROKE CT
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601-6404
Country	:	US
Telephone Number	:	859-279-1416
Fax Number	:	724-972-4627

Provider Business Practice Location Address
First Line	:	1049 RICHMOND RD N
Second Line	:
City	:	BEREA
State	:	KY
Zip	:	40403-1065
Country	:	US
Telephone Number	:	859-279-1416
Fax Number	:	724-972-4627

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	RICHARD HOFFMAN
Credential	:
Telephone Number	:	724-396-1510

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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