Individual provider Active NPI

Christine McWilliams, LPC

  • Professional Counselor
  • Meadville, PA
National Provider Identifier
1245636059
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
007048 Issued in PA
Practice address
312 Chestnut St Ste 113
Meadville, PA 16335-3206
Phone
(814) 795-4034
Fax
(814) 724-7495
NPI assigned
Nov 6, 2014
Last updated
Feb 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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 007048 PA Primary

Addresses

Primary practice location

312 Chestnut St Ste 113
Meadville, PA 16335-3206

Mailing address

312 Chestnut St Ste 113
Meadville, PA 16335-3206
Phone (814) 795-4034

Other identifiers 2

IdentifierTypeStateIssuer
PC007048OtherPASTATE LICENSE LPC
1215475694OtherPANPI2 SERENITY POINT COUNSELING

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
I20240105002118 PA Practitioner - Mental Health Counselor 5698146389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

312 Chestnut St
Suite 113
Meadville, PA 16335-3206
Phone (814) 795-4034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007048PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Point Counseling LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

312 Chestnut St
Ste 113
Meadville, PA 16335
Phone (814) 795-4034

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": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1245636059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CHESTNUT ST STE 113",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353206",
            "telephone_number": "814-795-4034",
            "fax_number": "814-724-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CHESTNUT ST STE 113",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353206",
            "telephone_number": "814-795-4034",
            "fax_number": "814-724-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWILLIAMS",
        "first_name": "CHRISTINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "007048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE LPC",
            "identifier": "PC007048",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI2 SERENITY POINT COUNSELING",
            "identifier": "1215475694",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.