Individual provider Active NPI

Michael J Reade, LPC

  • Mental Health Counselor
  • Erie, PA
National Provider Identifier
1205100716
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC006190 Issued in PA
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

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PC006190OtherPAPA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821001064 PA Practitioner - Mental Health Counselor 4688112691 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC006190PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
With You Counseling Services, LLC Mental Health CurrentSince Jun 2, 2024 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.

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

Verify at the official NPI Registry.