MEDICARE: NUMINOUS, 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
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1922946177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUMINOUS, LLC

Provider Business Mailing Address
First Line	:	625 S STATE ST
Second Line	:
City	:	WARREN
State	:	PA
Zip	:	16365-1248
Country	:	US
Telephone Number	:	814-727-1399
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 S STATE ST
Second Line	:
City	:	WARREN
State	:	PA
Zip	:	16365-1248
Country	:	US
Telephone Number	:	814-727-1399
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANDREW MICHAEL CAULEY
Credential	:
Telephone Number	:	814-727-1399

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

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Directions to “NUMINOUS, LLC ” Practice Location

Language	Start Address	Practice Location

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