NPIMap

Organization Active NPI

Tree of Life Counseling, LLC

  • Mental Health Counselor
  • Meadville, PA
National Provider Identifier
1134524523
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC000870 Issued in PA
Legal business name
TREE OF LIFE COUNSELING, LLC
Practice address
924 Diamond Park
Meadville, PA 16335-2605
Phone
(814) 333-8733
Fax
(814) 333-8733
NPI assigned
Oct 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Erica Lynn Ploski, LPCNPI 1760464879
Title
Owner
Phone
(814) 333-8733

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X PC000870 PA Primary

Addresses

Primary practice location

924 Diamond Park
Meadville, PA 16335-2605

Mailing address

924 Diamond Park
Meadville, PA 16335-2605
Phone (814) 333-8733

Other identifiers 2

IdentifierTypeStateIssuer
PC000870OtherPASTATE LICENSE
1019289750002MedicaidPA

Other names 1

  • Tree of Life Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

924 Diamond Park
Meadville, PA 16335
Phone (814) 333-8733

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1134524523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 DIAMOND PARK",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352605",
            "telephone_number": "814-333-8733",
            "fax_number": "814-333-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 DIAMOND PARK",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352605",
            "telephone_number": "814-333-8733",
            "fax_number": "814-333-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "PLOSKI",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-333-8733",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC000870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PC000870",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019289750002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tree of Life Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.