MEDICARE: EDISA MUSIC M.S.ED., LPC, NCC

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	PC019749	PA

General Provider Information

NPI Number	:	1184456170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDISA MUSIC M.S.ED., LPC, NCC

Provider Business Mailing Address
First Line	:	1622 BERYL DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15227-3709
Country	:	US
Telephone Number	:	412-880-9984
Fax Number	:

Provider Business Practice Location Address
First Line	:	1622 BERYL DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15227-3709
Country	:	US
Telephone Number	:	412-880-9984
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2024
Last Update Date	:	04/07/2026

Similar Medicare Providers

1780696450 — DR. MARIO CZONSTKOWSKY D.M.D., M.D.S.
Practice Location Address:

410 S CRAIG ST , SUITE 101
PITTSBURGH, PA
15213-3709

Practice Phone: 412-681-2991
Practice Fax: 412-681-2664

1942359328 — DR. MARK D MALVIN D.M.D.
Practice Location Address:

410 S CRAIG ST , SUITE 102
PITTSBURGH, PA
15213-3709

Practice Phone: 412-621-1356
Practice Fax: 412-621-2410

1427326396 — IVORIE HINES
Practice Location Address:

3709 ATKINS ST
PITTSBURGH, PA
15212-1901

Practice Phone: 858-848-6743
Practice Fax: 412-761-3820

1417420175 — LIVEWELL DENTISTRY OF OAKLAND
Practice Location Address:

410 S CRAIG ST STE 102
PITTSBURGH, PA
15213-3709

Practice Phone: 412-621-1356
Practice Fax:

1093334823 — RYAN SEIAVITCH
Practice Location Address:

5813 CENTRE AVE
PITTSBURGH, PA
15206-3709

Practice Phone: 412-282-3206
Practice Fax:

1104622679 — OMNI DENTAL SHADYSIDE GPS PLLC
Practice Location Address:

5813 CENTRE AVE
PITTSBURGH, PA
15206-3709

Practice Phone: 412-912-4556
Practice Fax:

Directions to “ EDISA MUSIC M.S.ED., LPC, NCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.