BRENDA DAUGHERTY-SHRIVASTAVA
NPI 1104156157
Counselor - Professional in Clarion, PA
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 and maintains a secondary practice location in Greensburg.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brenda Daugherty-shrivastava is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brenda Daugherty-shrivastava reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, PA 16125
- Reassigned Medicare billing, Pennsylvania enrollment
- 164 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 20
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 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.
Which organization bills Medicare for Brenda Daugherty-shrivastava's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Daugherty-shrivastava reassigns Medicare benefits to Primary Health Network (Greenville, 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 Brenda Daugherty-shrivastava's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brenda Daugherty-shrivastava accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Brenda Daugherty-shrivastava as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brenda Daugherty-shrivastava was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Brenda Daugherty-Shrivastava · NPI 1104156157
Professional provider in Clarion, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 13, 2010.
## Identity
- **NPI:** 1104156157 (Entity type: Individual)
- **Enumerated:** January 13, 2010
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC000561 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 PINNACLE DR, Clarion, PA 16214-3800
- **Phone:** (814) 223-9914 · **Fax:** (814) 223-9917
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Primary Health Network (NPI 1093946626, Greenville, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2023
- **Other identifiers:** Other PC000561 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104156157) · Data from the CMS NPPES public registry.