Active NPI
Michael J Reade, LPC
- Mental Health Counselor
- Erie, PA
National Provider Identifier
1205100716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC006190
- Practice address
- 2185 W 8TH St
Erie, PA 16505-4747 - Phone
- (814) 464-8311
- Fax
- (814) 464-8462
- NPI assigned
- Mar 1, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC006190 | PA | Primary |
Addresses
Primary practice location
2185 W 8TH St
Erie, PA 16505-4747
Mailing address
2185 W 8TH St
Erie, PA 16505-4747
Phone (814) 464-8311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC006190 | Other | PA | PA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC006190 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| With You Counseling Services, LLC | Mental Health | Current | Accepting new patients |
Locations
1134 Liberty St
Franklin, PA 16323
Phone (814) 346-1312
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Franklin, PA
- NPI 1689209181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1205100716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2185 W 8TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165054747",
"telephone_number": "814-464-8311",
"fax_number": "814-464-8462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2185 W 8TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165054747",
"telephone_number": "814-464-8311",
"fax_number": "814-464-8462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "READE",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-01",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC006190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "PC006190",
"state": "PA"
}
],
"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 Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.