Active NPI
Larry Joe Pugel, PHD
- Professional Counselor
- Albion, PA
National Provider Identifier
1245339241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC004967
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LH00004396 | WA | MD | Mental Health Counselor |
| PC004967 | PA | MD | Professional Counselor |
| 1526 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larry J Pugel, PH.D., LPC | Professional | Current | 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.
-
- Professional Counselor
- Albion, PA
- NPI 1073222816
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.