Active NPI
Thomas John Calabrese, LPC
- Professional Counselor
- Erie, PA
National Provider Identifier
1023046117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC001845
- Practice address
- 4402 Peach St
Erie, PA 16509-1358 - Phone
- (814) 866-0905
- Fax
- (814) 866-0905
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC001845 | PA | Primary |
Addresses
Primary practice location
4402 Peach St
Erie, PA 16509-1358
Mailing address
1125 Aris Dr
Erie, PA 16505-1211
Phone (814) 838-8878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1796053 | Other | PA | HIGHMARK INS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC001845 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023046117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 ARIS DR",
"city": "ERIE",
"state": "PA",
"postal_code": "165051211",
"telephone_number": "814-838-8878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4402 PEACH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165091358",
"telephone_number": "814-866-0905",
"fax_number": "814-866-0905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALABRESE",
"first_name": "THOMAS",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC001845",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK INS PROVIDER #",
"identifier": "1796053",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.