| Samkirk, Llc | |
|
2330 Saddle Dr Allison Park PA 15101-2924 | |
| (412) 953-9691 | |
| (412) 330-1664 |
| Full Name | Samkirk, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2330 Saddle Dr, Allison Park, Pennsylvania |
| Authorized Official Name and Position | Dana L Kirkpatrick (OWNER) |
| Authorized Official Contact | 4129539691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samkirk, Llc 2330 Saddle Dr Allison Park PA 15101-2924 Ph: (412) 953-9691 | Samkirk, Llc 2330 Saddle Dr Allison Park PA 15101-2924 Ph: (412) 953-9691 |
| NPI Number | 1316563331 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Medicare PECOS PAC ID | 0648715524 |
|---|---|
| Medicare Enrollment ID | O20240716001147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316563331 | NPI | - | NPPES |
| 1881844207 | Other | PA | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Christopher F Naccarelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801258421 PECOS PAC ID: 5991069452 Enrollment ID: I20180509000466 |
| Provider Name | Dana Lynne Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881844207 PECOS PAC ID: 4284179169 Enrollment ID: I20240716001448 |
| Provider Name | Anneke Kristen Shuster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558019612 PECOS PAC ID: 0446798979 Enrollment ID: I20240815002180 |
| Provider Name | Abigail Ritter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154015600 PECOS PAC ID: 2163960337 Enrollment ID: I20240819003802 |
| Provider Name | Amy Lynn Protho |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811598949 PECOS PAC ID: 9830637941 Enrollment ID: I20240820001225 |
| Provider Name | Charmaine Ensinger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376157057 PECOS PAC ID: 1951840263 Enrollment ID: I20240830001670 |
| Provider Name | Cheyenne Holyfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154952281 PECOS PAC ID: 6204375355 Enrollment ID: I20240903003006 |
| Provider Name | Julia Bodura Yost |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093303372 PECOS PAC ID: 2466992169 Enrollment ID: I20240909003416 |
| Provider Name | Kacy Ruffin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457118713 PECOS PAC ID: 7113467531 Enrollment ID: I20240911003161 |
| Provider Name | Marissa Umble |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881203693 PECOS PAC ID: 1951842186 Enrollment ID: I20240916001677 |
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