Individual provider Active NPI

Eric Solomon, LPC

  • Mental Health Counselor
  • Warwick, PA
National Provider Identifier
1013388560
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC003634 Issued in PA
Practice address
896 Clover PL
Warwick, PA 18974-3802
Phone
(267) 235-8209
NPI assigned
Oct 9, 2015
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0136173 VT
Mental Health Counselor 101YM0800X 37PC00960800 NJ
Mental Health Counselor 101YM0800X 9211 SC
Mental Health Counselor 101YM0800X PC003634 PA Primary

Addresses

Primary practice location

896 Clover PL
Warwick, PA 18974-3802

Mailing address

896 Clover PL
Warwick, PA 18974-3802
Phone (267) 235-8209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00960800NJMDMental Health Counselor
9211SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince Mar 1, 2024 Accepting new patients
Valera Medical, P.a. Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Valera Medical, P.a. Mental Health CurrentSince Sep 25, 2024 Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

200 Barr Harbor Dr
Ste 400
West Cnshohocken, PA 19428
Phone (484) 362-9802

1 Lawson Ln
Ste 200D
Burlington, VT 05401
Phone (802) 881-2281

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1013388560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 CLOVER PL",
            "city": "WARWICK",
            "state": "PA",
            "postal_code": "189743802",
            "telephone_number": "267-235-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 CLOVER PL",
            "city": "WARWICK",
            "state": "PA",
            "postal_code": "189743802",
            "telephone_number": "267-235-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-09",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0136173",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00960800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9211",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC003634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, PA

Sources for this page

Verify at the official NPI Registry.