JENNA RAE VIDULICH LPC NCC NPI 1720587835

NPI Information

  • NPI: 1720587835
  • Provider Name: JENNA RAE VIDULICH, LPC, NCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 322 N SHORE DR
    PITTSBURGH, PA
    ZIP 15212
  • Phone: (646) 941-7645

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NPI Details

Jenna Rae Vidulich, LPC, NCC is a mental health counselor in Pittsburgh, PA. Jenna Rae Vidulich, LPC, NCC NPI is 1720587835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

322 N SHORE DR
PITTSBURGH, PA
ZIP 15212-875
Phone: (646) 941-7645

The enumeration date for this NPI number is 2/4/2018 and was last updated on 2/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthPC009999PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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