Tricia Lee Pelc, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC004846 Issued in PA

Practice address

2500 Palermo Dr Ste 3
Erie, PA 16506-7206

Phone

(814) 449-9469

Fax

(814) 381-2215

NPI assigned

Sep 29, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Tricia Lee Hurta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1053645689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 PALERMO DR STE 3",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165067206",
            "telephone_number": "814-449-9469",
            "fax_number": "814-381-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PALERMO DR STE 3",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165067206",
            "telephone_number": "814-449-9469",
            "fax_number": "814-381-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELC",
        "first_name": "TRICIA",
        "middle_name": "LEE",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004650",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9533493",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER (CHARTERED HEALTH)",
            "identifier": "1053645689",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102974373-0017",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1053645689",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600615-752",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "1053645689",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "HURTA",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pediatric Ophthalmology of Erie, Inc
• Pediatric Orthotic and Prosthetic Services - Northeast, LLC
• Roshell L Peeso, PHARMD
• Alison Marie Mallory Pehl, DO
• Madeline Grace Pelc, MS, NCC, LPC, CCTP
• Timothy D Pelkowski, M.D.
• Laurie H Pembridge, OTR/L
• Andres Pena
• Antonio Pena
• Pedro Pena, MD

• Professional Counselor in Erie, PA
• Providers in Erie, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.