The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Monroeville and Pennsylvania

53 active clinicians are listed under Counselor - Professional with a practice address in Monroeville, PA (9,346 in Pennsylvania).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Monroeville

3.8% of these 53 clinicians have the CMS telehealth indicator.

11.3% of these 53 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-13

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES PA PC019965

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Pennsylvania Department of State Licensing.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events

📍

Updated Business Mailing Address February 13, 2026

Registered at 2539 MONROEVILLE BLVD, MONROEVILLE, PA 151462328

📍

Updated Practice Location February 06, 2026

Registered at 2539 MONROEVILLE BLVD, MONROEVILLE, PA 151462328 (Tel: 2402812933)

📍

Updated Business Mailing Address February 06, 2026

Registered at 1800 5TH AVE APT 214, PITTSBURGH, PA 152195579

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2026

Counselor (license number reported to NPPES: PA PC019965)

✅

NPI Profile Active August 09, 2022

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) August 09, 2022

Registered at 109 MARQUIS DR, EIGHTY FOUR, PA 153302871 (Tel: 3049192843)

📍

Business Mailing Address (Initial Record) August 09, 2022

Registered at 1010 WAYNE AVE STE 675, SILVER SPRING, MD 209105676

👤

Provider Name / Credentials (Initial Record) August 09, 2022

Recorded as JACOB NUTTER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2022

Behavior Technician

🟢

Initial NPI Registration & Enumeration August 09, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063140002

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 09, 2022

Last Update: February 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2539 Monroeville Blvd

Monroeville, PA 151462328

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.