Individual provider Active NPI

Alice Link, LPC

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1215596069
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011456 Issued in PA
Practice address
2437 W 26TH St
Erie, PA 16506-3220
Phone
(814) 455-0754
Fax
(814) 746-3994
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC011456 PA Primary

Addresses

Primary practice location

2437 W 26TH St
Erie, PA 16506-3220

Mailing address

18278 Technology Dr
Meadville, PA 16335-8380
Phone (814) 332-0095

Other identifiers 1

IdentifierTypeStateIssuer
PC011456OtherPALICENSED TYPE: PROFESSIONAL COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 18, 2026 through Feb 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC011456PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Link Modern Therapy, LLC CurrentSince Apr 28, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1215596069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18278 TECHNOLOGY DR",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163358380",
            "telephone_number": "814-332-0095",
            "fax_number": "814-746-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063220",
            "telephone_number": "814-455-0754",
            "fax_number": "814-746-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINK",
        "first_name": "ALICE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED TYPE: PROFESSIONAL COUNSELOR",
            "identifier": "PC011456",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.