UNTETHERED THERAPY GROUP, LLC (NPI# 1598154262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598154262 |
| Entity Type | Organization |
| Organization Name | UNTETHERED THERAPY GROUP, LLC |
| Other Organization Name | UNTETHERED THERAPY GROUP |
| Practice Address |
570 Lincoln Ave Bellevue PA 15202-3530 |
| Practice Telephone | 3042168287 |
| Mailing Telephone | 3042168287 |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2015-01-17 |
| Authorized Official Name | HEATHER L PUTNEY (MANAGING MEMBER) |
| Authorized Official Telephone | 3042168287 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
PC 007892 | PA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | MF000693 | PA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Untethered Therapy Group | Doing Business As Name - Organization |
| Street Address |
570 LINCOLN AVE |
| City | BELLEVUE |
| State | PA |
| Zip Code | 15202-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946115 | Brandi Lynn Gurcak | Counselor | 570 Lincoln Ave, Bellevue, PA 15202-3530 | 2019-01-29 |
| 1518466044 | Mentwell Inc. | Counselor | 570 Lincoln Ave, Bellevue, PA 15202-3530 | 2018-02-10 |
| 1962875930 | Amy Stoddard | Counselor | 570 Lincoln Ave, Bellevue, PA 15202-3530 | 2015-11-12 |
| 1407244205 | Gabriella Emmari Locke | Counselor | 570 Lincoln Ave, Bellevue, PA 15202-3530 | 2014-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174992135 | Darla Carter | Registered Nurse | 261 Center Avenue Apt.2, Emsworth, PA 15202 | 2015-09-21 |
| 1811385768 | Tonya Mckenzie | Specialist/Technologist | 527 Monroe Ave, Apt 306, Pittsburgh, PA 15202 | 2014-12-30 |
| 1891938932 | Shannon W Passineau | Dentist | 51 N. Balph Ave., Pittsburgh, PA 15202 | 2009-04-17 |
| 1396999348 | Kristina Kim | Occupational Therapist | 7206 Brighton Road, Ben Avon, PA 15202 | 2008-11-04 |
| 1437301108 | Ankle and Foot Care Inc | Podiatrist | 180 Lincoln Ave, Pittsburgh, PA 15202 | 2008-10-14 |
| 1689859456 | Frank Meacci Jr. | Psychologist | 315 Walnut Road, Pittsburgh, PA 15202 | 2007-12-29 |
| 1598986416 | Micucci Family Dentistry PC | Dentist | 704 Lincoln Avenue, Pittsburgh, PA 15202 | 2007-05-01 |
| 1306964051 | Pittsburgh Regional Chiropractic Center | Chiropractor | 14 North Balph Ave., Pittsburgh, PA 15202 | 2007-03-27 |
| 1205998960 | Nicole Desiree Hahna | Music Therapist | 7115 Church Ave., Pittsburgh, PA 15202 | 2006-12-15 |
| 1780751743 | John Brian Debonis | Dentist | 467 Lincoln Avenue, Bellevue, PA 15202 | 2006-11-28 |
| Find all providers in zip 15202 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447736640 | Deborah Runke | Marriage & Family Therapist | 1160 140th Ave Ne Ste E&f, Bellevue, WA 98005-2978 | 2018-07-11 |
| 1700313665 | Kristin Nicole Mendoza | Marriage & Family Therapist | 13646 Ne 24th St, Bellevue, WA 98005-1859 | 2017-05-22 |
| 1245765312 | Amy Peterson | Marriage & Family Therapist | 17128 Se 35th St, Bellevue, WA 98008-5820 | 2017-04-26 |
| 1306295860 | Linda Dulan | Marriage & Family Therapist | 4861 167th Ave Se, Bellevue, WA 98006-5897 | 2016-06-06 |
| 1063872844 | Sophia Lust | Marriage & Family Therapist | 11711 Se 8th St, Suite 315, Bellevue, WA 98005-3543 | 2016-03-07 |
| 1902295777 | Christina Steere | Marriage & Family Therapist | 915 118th Ave Se Ste 285, Bellevue, WA 98005-3800 | 2015-01-16 |
| 1093131070 | Tina Marie Ensminger | Marriage & Family Therapist | 1400 112th Ave Se Ste 202, Bellevue, WA 98004-6901 | 2014-03-13 |
| 1790113504 | Jennifer Marie Peters | Marriage & Family Therapist | 16130 Se Eastgate Way Apt D105, Bellevue, WA 98008-5474 | 2013-10-15 |
| 1639510001 | Sarah Howbert | Marriage & Family Therapist | 12740 Ne 30th St, Bellevue, WA 98005-1606 | 2013-07-12 |
| 1699118976 | Angela L. Wyatt | Marriage & Family Therapist | 1406 Fort Crook Rd S Ste 401, Bellevue, NE 68005-2980 | 2013-04-16 |
| Find all providers in BELLEVUE | ||||
Please comment or provide details below to improve the information on UNTETHERED THERAPY GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.