NOAH DOUGLAS MICKEY
NPI 1215654454
Counselor - Professional in Pittsburgh, PA

Active since October 27, 2022PECOS EnrolledAccepts Medicare Assignment
5830 ELLSWORTH AVE STE 301, PITTSBURGH, PA 15232(855) 284-7483 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 20, 2023, Oct 27, 2022 (2 updates tracked since 2022).

About Noah Douglas Mickey NPPES

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

NOAH DOUGLAS MICKEY (NPI 1215654454) is an individual professional provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (PC016417) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Carnegie, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1215654454
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameNOAH DOUGLAS MICKEY
Location Address5830 ELLSWORTH AVE STE 301Pittsburgh, PA 15232-1778
Mailing AddressPo Box 748465Atlanta, GA 30374-8465
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 27, 2022
Last NPPES UpdateFebruary 20, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
✔ NPI 1215654454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC016417
5830 ELLSWORTH AVE STE 301, Pittsburgh, PA 15232

Secondary Practice Location 1

Location 1510 Washington Ave Unit 301Carnegie, PA 15106-2874 · Phone (724) 747-4037 · Fax (724) 747-4037

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Noah Douglas Mickey is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496105900
PECOS Enrollment IDI20231226001067
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Noah Mickey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
510 WASHINGTON AVE UNIT 301
Carnegie, PA 15106
  • Reassigned Medicare billing, Pennsylvania enrollment
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 225 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 11

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

Counselor (Professional)
5830 ELLSWORTH AVE STE 301
PITTSBURGH, PA 15232
Social Worker (Clinical)
5830 ELLSWORTH AVE STE 301
PITTSBURGH, PA 15232
Counselor (Professional)
5830 ELLSWORTH AVE STE 301
PITTSBURGH, PA 15232
Counselor (Professional)
5830 ELLSWORTH AVE STE 301
PITTSBURGH, PA 15232
Counselor (Professional)
5830 ELLSWORTH AVE STE 301
PITTSBURGH, PA 15232
Psychologist
5830 ELLSWORTH AVE STE 301
PITTSBURGH, PA 15232
Counselor (Professional)
5830 ELLSWORTH AVE STE 301
PITTSBURGH, PA 15232
Counselor (Professional)
5830 ELLSWORTH AVE STE 301
PITTSBURGH, PA 15232

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 Noah Mickey's NPI number?

The NPI number for Noah Mickey is 1215654454. It was assigned to this individual provider in the NPPES registry on October 27, 2022.

Where is Noah Mickey located?

Noah Mickey practices at 5830 Ellsworth Ave Ste 301, Pittsburgh, PA 15232. The listed phone number is (855) 284-7483.

What is Noah Mickey's specialty?

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

Is Noah Mickey enrolled in Medicare?

Yes. Noah Mickey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Noah Mickey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noah Mickey reassigns Medicare benefits to 2 organizations: Self Care Conversations LLC (Carnegie, PA) and Thrive Counseling LLC (Lynchburg, VA). Each 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 Noah Mickey'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 Noah Mickey was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.