Provider Demographics
NPI:1356983456
Name:MCGINNIS, JANICE (MA, LPC)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:NICHOLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:336 BEAVER ST
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2202
Mailing Address - Country:US
Mailing Address - Phone:724-561-4787
Mailing Address - Fax:
Practice Address - Street 1:276 E END AVE
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2808
Practice Address - Country:US
Practice Address - Phone:724-775-0758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-10
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011803101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional