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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: October 18, 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

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

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.

Medicare Billing Reassignments

2

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

Donnelle Super Counseling, LLC
10 mi
Mental Health (Including Community Mental Health Center)
6023 W RIDGE RD
Erie, PA 16506
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1770347577 (814) 881-5299
Grow Healthcare Group PA
1,117 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Ohio and Pennsylvania enrollments
  • 725 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Donnelle Super's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donnelle Super reassigns Medicare benefits to 2 organizations: Donnelle Super Counseling, LLC (Erie, PA) and Grow Healthcare Group PA (Miami, FL). 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 Donnelle Super's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donnelle Super accept?

Health plans from MedMutual list Donnelle Super 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 Donnelle Super was last updated on July 11, 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.