KOONTEERA KAEW-IM JAMES MA, LPC
NPI 1023755881
Counselor - Mental Health in Pittsburgh, PA
About Koonteera Kaew-im James Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOONTEERA KAEW-IM JAMES MA, LPC (NPI 1023755881) is an individual mental health provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (PC013959) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Monroeville.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Koonteera Kaew-im James Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Koonteera James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sewickley, PA 15143
- Reassigned Medicare billing, Pennsylvania enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Koonteera James's NPI number?
The NPI number for Koonteera James is 1023755881. It was assigned to this individual provider in the NPPES registry on May 13, 2022. The provider is also known as Koonteera Solares.
Where is Koonteera James located?
Koonteera James practices at 401 Shady Ave Ste B207, Pittsburgh, PA 15206. The listed phone number is (412) 823-5155.
What is Koonteera James's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Koonteera James enrolled in Medicare?
Yes. Koonteera James is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Koonteera James's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Koonteera James reassigns Medicare benefits to Samaritan Counseling Center Of Western PA (Sewickley, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Koonteera James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Koonteera James was last updated on May 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Koonteera Kaew-Im James, MA, LPC · NPI 1023755881
Mental Health provider in Pittsburgh, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 13, 2022.
## Identity
- **NPI:** 1023755881 (Entity type: Individual)
- **Enumerated:** May 13, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** PC013959 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 401 SHADY AVE STE B207, Pittsburgh, PA 15206-4489
- **Phone:** (412) 823-5155
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Samaritan Counseling Center Of Western PA (NPI 1629093265, Sewickley, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1023755881) · Data from the CMS NPPES public registry.