Organization Active NPI

John Etling PHD LPC

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1265129555
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JOHN ETLING PHD LPC
Practice address
2800 W 21St St Ste 109
Erie, PA 16506-2980
Phone
(814) 732-0718
NPI assigned
Apr 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Dr. John Andrew Etling, PHD LPCNPI 1912317371
Title
Owner/Therapist
Phone
(814) 732-0718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2800 W 21St St Ste 109
Erie, PA 16506-2980

Mailing address

2800 W 21St St Ste 109
Erie, PA 16506-2980
Phone (814) 732-0718

National Provider Directory

National Provider Directory

Locations

2800 W 21st St
Ste 109
Erie, PA 16506
Phone (814) 732-0718

Practitioners & affiliated clinicians

Practitioners 1

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": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1265129555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W 21ST ST STE 109",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062980",
            "telephone_number": "814-732-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 21ST ST STE 109",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062980",
            "telephone_number": "814-732-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ETLING PHD LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "ETLING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "814-732-0718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "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 Apr 18, 2023; 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.