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DONNELLE SUPER MSW
NPI 1508231283
Counselor in Girard, PA

Active since December 07, 2015PECOS EnrolledAccepts Medicare Assignment
5971 TELLER RD, GIRARD, PA 16417(814) 881-5299 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2024, Apr 3, 2024, Mar 6, 2024 and 2 more (5 updates tracked since 2015).

About Donnelle Super Msw NPPES

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

DONNELLE SUPER MSW (NPI 1508231283) is an individual counselor in Girard, Pennsylvania and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Girard, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1508231283
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDONNELLE SUPERCredential: MSW
Location Address5971 TELLER RDGirard, PA 16417-9112
Mailing Address5971 Teller RdGirard, PA 16417-9112 · (814) 881-5299
Phone(814) 881-5299
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 7, 2015
Last NPPES UpdateJuly 11, 20245 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1508231283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW138765 (PA)
Also ListedDevelopmental TherapistTaxonomy 222Q00000X
5971 TELLER RD, Girard, PA 16417
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Secondary Practice Location 1

Location 15971 Teller RdGirard, PA 16417-9112 · Phone (814) 881-5299

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donnelle Super Msw 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 ID2860840063
PECOS Enrollment IDI20240314000207
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.

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 Donnelle Super's NPI number?

The NPI number for Donnelle Super is 1508231283. It was assigned to this individual provider in the NPPES registry on December 7, 2015.

Where is Donnelle Super located?

Donnelle Super practices at 5971 Teller Rd, Girard, PA 16417. The listed phone number is (814) 881-5299.

What is Donnelle Super's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Donnelle Super enrolled in Medicare?

Yes. Donnelle Super 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.

When was this NPI record last updated?

The NPPES record for Donnelle Super was last updated on July 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.