Individual provider Active NPI

Paul Bauer, LPC

  • Professional Counselor
  • New Tripoli, PA
National Provider Identifier
1043617921
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008581 Issued in PA
Practice address
3972 Blacksmith Road
New Tripoli, PA 18066-8268
Phone
(910) 409-5238
NPI assigned
Nov 20, 2014
Last updated
Apr 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A9384 NC
Professional Counselor 101YP2500X PC008581 PA Primary

Addresses

Primary practice location

3972 Blacksmith Road
New Tripoli, PA 18066-8268

Mailing address

3972 Blacksmith Rd
New Tripoli, PA 18066-3205
Phone (910) 409-5238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404003536 PA Practitioner - Mental Health Counselor 2668810912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Counseling Services LLCGroup PAC ID 2163837261, 6 clinicians

Practice addresses (Care Compare)

124 S Main St
Coopersburg, PA 18036-1913
Phone (610) 282-5735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A9384NCMDProfessional Counselor
PC008581PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Counseling Services, LLC CurrentSince Feb 29, 2024 Accepting new patients

Organizations & group practices 1

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": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1043617921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 BLACKSMITH RD",
            "city": "NEW TRIPOLI",
            "state": "PA",
            "postal_code": "180663205",
            "telephone_number": "910-409-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3972 BLACKSMITH ROAD",
            "city": "NEW TRIPOLI",
            "state": "PA",
            "postal_code": "180668268",
            "telephone_number": "910-409-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-20",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A9384",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Tripoli, PA

Sources for this page

Verify at the official NPI Registry.