MEDICARE: GROUNDED COUNSELING AND WELLNESS, LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1649036542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROUNDED COUNSELING AND WELLNESS, LLC

Provider Business Mailing Address
First Line	:	1675 KELTON AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15216-1863
Country	:	US
Telephone Number	:	724-831-8727
Fax Number	:

Provider Business Practice Location Address
First Line	:	2555 WASHINGTON RD STE 610-C
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-2574
Country	:	US
Telephone Number	:	724-405-7366
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KATHERINE JONES
Credential	:	LPC
Telephone Number	:	724-405-7366

Provider Enumeration Date	:	02/27/2024
Last Update Date	:	11/10/2025

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