Alissa Angela Erb, M.S., L.B.S., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC011071 Issued in PA

Practice address

1777 Sentry Pkwy W BLDG 12
Blue Bell, PA 19422-2207

Phone

(215) 767-7096

Fax

(267) 419-8426

NPI assigned

Jul 28, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: alissa.whelan.1@28623.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Insite Medical PA PC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Philadelphia, PA
  • NPI 1528706009
  NPD (past)
• Insite Medical NJ PA

  • Behavioral Neurology & Neuropsychiatry Physician
  • Marlton, NJ
  • NPI 1538807011

  Professional

  NPD (past)
• Psychological Healthcare, PLLC

  • Professional Counselor
  • Syracuse, NY
  • NPI 1922109578
  NPD (past)

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564272000000",
    "number": "1104470277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 NEMORAL ST",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744645",
            "telephone_number": "484-374-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 SENTRY PKWY W BLDG 12",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222207",
            "telephone_number": "215-767-7096",
            "fax_number": "267-419-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERB",
        "first_name": "ALISSA",
        "middle_name": "ANGELA",
        "name_prefix": "Miss",
        "credential": "M.S., L.B.S., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH003808",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://jsnydertherapy.com/",
            "affiliation": "N",
            "endpointDescription": "private practice website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "practice information",
            "address_1": "1777 Sentry Pkwy W Bldg 12",
            "city": "Blue Bell",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194222207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; 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.