Provider Demographics
NPI:1457641326
Name:NAGEL, JODY (MSED NCC LPC)
Entity Type:Individual
Prefix:MS
First Name:JODY
Middle Name:
Last Name:NAGEL
Suffix:
Gender:F
Credentials:MSED NCC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 STREETS RUN ROAD
Mailing Address - Street 2:SUITE 402
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236
Mailing Address - Country:US
Mailing Address - Phone:412-653-7829
Mailing Address - Fax:412-653-7828
Practice Address - Street 1:470 STREETS RUN RD
Practice Address - Street 2:SUITE 402
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2023
Practice Address - Country:US
Practice Address - Phone:412-653-7829
Practice Address - Fax:412-653-7828
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001196101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional