BRENDA DAUGHERTY-SHRIVASTAVA
NPI 1104156157
Counselor - Professional in Clarion, PA

Active since January 13, 2010PECOS Enrolled
30 PINNACLE DR, CLARION, PA 16214(814) 223-9914(814) 223-9917 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 2, 2023, Oct 3, 2023, Aug 26, 2019 (3 updates tracked since 2019).

About Brenda Daugherty-shrivastava NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDA DAUGHERTY-SHRIVASTAVA (NPI 1104156157) is an individual professional provider in Clarion, Pennsylvania, licensed in Pennsylvania (PC000561) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104156157
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBRENDA DAUGHERTY-SHRIVASTAVA
Location Address30 PINNACLE DRClarion, PA 16214-3800
Mailing Address100 Shenango AveSharon, PA 16146-1503 · (814) 223-9914 · Fax (814) 223-9917
Fax(814) 223-9917
Sole ProprietorNo
Enumeration DateJanuary 13, 2010
Last NPPES UpdateNovember 2, 20233 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
NPI 1104156157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC000561
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PC000561 (PA)
30 PINNACLE DR, Clarion, PA 16214

Other Identifiers 1

OtherPC000561PA · Licensed Professional Counselor

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brenda Daugherty-shrivastava is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
30 PINNACLE DR, SUITE 301
CLARION, PA 16214
Nurse Practitioner
30 PINNACLE DR, SUITE 301
CLARION, PA 16214
Family Medicine
30 PINNACLE DR
CLARION, PA 16214
Nurse Practitioner (Family)
30 PINNACLE DR, #301
CLARION, PA 16214
Social Worker (Clinical)
30 PINNACLE DR, SUITE 203
CLARION, PA 16214
Nurse Practitioner (Family)
30 PINNACLE DR
CLARION, PA 16214
Dentist
30 PINNACLE DR
CLARION, PA 16214
Psychiatry & Neurology (Psychiatry)
30 PINNACLE DR
CLARION, PA 16214

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 Brenda Daugherty-shrivastava's NPI number?

The NPI number for Brenda Daugherty-shrivastava is 1104156157. It was assigned to this individual provider in the NPPES registry on January 13, 2010.

Where is Brenda Daugherty-shrivastava located?

Brenda Daugherty-shrivastava practices at 30 Pinnacle Dr, Clarion, PA 16214. The listed phone number is (814) 223-9914.

What is Brenda Daugherty-shrivastava's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brenda Daugherty-shrivastava enrolled in Medicare?

Yes. Brenda Daugherty-shrivastava is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brenda Daugherty-shrivastava was last updated on November 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.