Active NPI
Greg Purchase LLC
- Community/Behavioral Health Agency
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- SW133012
- Legal business name
- GREG PURCHASE LLC
- Practice address
- 2221 Peninsula Dr Ste 105
Erie, PA 16506-2954 - Phone
- (814) 969-3031
- NPI assigned
- Feb 8, 2018
- Last updated
- Jun 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory J Purchase, LCSW
- Title
- Owner
- Phone
- (814) 969-3031
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | SW133012 | PA | Primary |
Addresses
Primary practice location
2221 Peninsula Dr Ste 105
Erie, PA 16506-2954
Mailing address
614 Lincoln Ave
Erie, PA 16505-5014
Phone (814) 969-3031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2221 Peninsula Dr
Erie, PA 16506
Phone (814) 554-0622
2221 Peninsula Dr
Ste 105
Erie, PA 16506
Phone (814) 969-3031
2221 Peninsula Dr
Ste 209
Erie, PA 16506
Phone (814) 969-3031
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Erie, PA
- NPI 1669986956
-
- Clinical Social Worker
- Erie, PA
- NPI 1679090534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559692800000",
"number": "1083113799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 LINCOLN AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "165055014",
"telephone_number": "814-969-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 PENINSULA DR STE 105",
"city": "ERIE",
"state": "PA",
"postal_code": "165062954",
"telephone_number": "814-969-3031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREG PURCHASE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-08",
"last_updated": "2019-06-05",
"status": "A",
"authorized_official_last_name": "PURCHASE",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-969-3031",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "SW133012",
"primary": true
}
],
"identifiers": [],
"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 Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.