Individual provider Active NPI

Larry Joe Pugel, PHD

  • Professional Counselor
  • Albion, PA
National Provider Identifier
1245339241
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC004967 Issued in PA
Practice address
131 E State St
Albion, PA 16401-1348
Phone
(814) 935-4074
Fax
(440) 536-4115
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00004396 WA
Professional Counselor 101YP2500X 1526 CO
Professional Counselor 101YP2500X PC004967 PA Primary

Addresses

Primary practice location

131 E State St
Albion, PA 16401-1348

Mailing address

4345 N Bend Rd
Ashtabula, OH 44004-9797
Phone (814) 935-4074

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
I20240215003116 PA Practitioner - Mental Health Counselor 4688018815 Practice locations: Albion, PA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

131 E State St
Albion, PA 16401-1348
Phone (814) 935-4074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LH00004396WAMDMental Health Counselor
PC004967PAMDProfessional Counselor
1526COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Larry J Pugel, PH.D., LPC Professional CurrentSince Nov 27, 2022 Accepting new patients

Locations

131 E State St
Albion, PA 16401
Phone (814) 935-4074

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1245339241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 N BEND RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440049797",
            "telephone_number": "814-935-4074",
            "fax_number": "814-935-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E STATE ST",
            "city": "ALBION",
            "state": "PA",
            "postal_code": "164011348",
            "telephone_number": "814-935-4074",
            "fax_number": "440-536-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGEL",
        "first_name": "LARRY",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004396",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "1526",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albion, PA

Sources for this page

Verify at the official NPI Registry.