Organization Active NPI

Greg Purchase LLC

  • Community/Behavioral Health Agency
  • Erie, PA
National Provider Identifier
1083113799
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW133012 Issued in PA
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Mr. Gregory J Purchase, LCSWNPI 1669986956
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20180604002323 PA Part B Supplier - Clinic/Group Practice 1052676525 Receives reassigned benefits from 1 practitioner
Practice locations: Erie, PA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.