Organization Active NPI

White Pine Center for Healing

  • Mental Health Counselor
  • Erie, PA
National Provider Identifier
1235747593
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WHITE PINE CENTER FOR HEALING
Practice address
1116 W 7TH St
Erie, PA 16502-1104
Phone
(814) 461-5617
NPI assigned
Jul 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Mrs. Brandes Montgomery, MS, LPC
Title
Clinical Director
Phone
(814) 431-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1116 W 7TH St
Erie, PA 16502-1104

Mailing address

1116 W 7TH St
Erie, PA 16502-1104

National Provider Directory

National Provider Directory

Locations

1116 W 7th St
Erie, PA 16502
Phone (814) 461-5617

Practitioners & affiliated clinicians

Practitioners 3

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": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1235747593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 W 7TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 W 7TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021104",
            "telephone_number": "814-461-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE PINE CENTER FOR HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "BRANDES",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "814-431-2511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 22, 2020; 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.