Erica Lyn Boncella, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC015018 Issued in PA

Practice address

3037 W 42ND St
Erie, PA 16506-5317

Phone

(582) 245-4102

NPI assigned

Oct 31, 2022

Reactivated

Mar 26, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 1, 2024 through May 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Erica Boncella LPC

  • Professional Counselor
  • Erie, PA
  • NPI 1861235103
  NPD Authorized official
• Wellspring of Life, LLC

  • Professional Counselor
  • Erie, PA
  • NPI 1154700110
  NPD (past)

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1194432203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 W 42ND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165065317",
            "telephone_number": "582-245-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 W 42ND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165065317",
            "telephone_number": "582-245-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONCELLA",
        "first_name": "ERICA",
        "middle_name": "LYN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "deactivation_date": "2026-01-30",
        "reactivation_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC015018",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aneel Kumar Bole, M.D.
• Glenn Alden Bollard, MD
• Michelle Bollom, OTD, OTR/L, CTRS-C
• Christopher Michael Bolton
• Vanessa Bonatto, LCSW
• Mbembo Bongutu, MD
• Megan Gwendolyn Bonk
• Tara Lynn Bonovitch, LPN
• Rosalie Anne Bonus, PA
• Rachel Bonyai, MSW

• 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 Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.