John S. Petkac, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC002741 Issued in PA

Practice address

4021 W 12TH St
Erie, PA 16505-3354

Phone

(814) 882-3861

Fax

(814) 833-7944

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Petkac Psychotherapy Services

  • Community/Behavioral Health Agency
  • Erie, PA
  • NPI 1508915463
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1265432843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053357",
            "telephone_number": "814-882-3861",
            "fax_number": "814-833-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053354",
            "telephone_number": "814-882-3861",
            "fax_number": "814-833-7944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S Highland St",
            "address_purpose": "LOCATION",
            "city": "Lock Haven",
            "state": "PA",
            "postal_code": "177452812",
            "country_code": "US",
            "telephone_number": "570-748-7173 x87173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETKAC",
        "first_name": "JOHN",
        "middle_name": "S.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Lynn Peterson, O.D.
• Robert Schaefer Peterson, MED
• Ross C Peterson, MD
• Theresa Ann Peterson, LCSW
• Petkac Psychotherapy Services
• Maryna Petrasheuskaya, DDS
• Megan Claire Petrilla, ATC
• Adam J Petroski, DO
• Dora Petrosyan, MS, OTR/L
• Irina Igorevna Petrosyan

• Professional Counselor in Erie, PA
• Providers in Erie, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.