Peak Bloom Counseling and Wellness LLC
NPI 1699597682ActiveOrganization· Counselor, Professional· Canonsburg, PA
Counselor, Professional in Canonsburg, Pennsylvania, registered in NPPES in October 2024. The authorized official on file is Corey Vansickle, Owner/Lpc. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699597682 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 30, 2024 |
| Last updated in NPPES | Oct 30, 2024 |
| Certified by provider | Oct 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
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