Individual provider Active NPI

Melissa Anne McGibney, L.C.S.W.

  • Mental Health Counselor
  • Erie, PA
National Provider Identifier
1285954925
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CW016074 Issued in PA
Practice address
2910 State St
Erie, PA 16508-1832
Phone
(814) 454-5686
Fax
(814) 454-8946
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CW016074 PA Primary

Addresses

Primary practice location

2910 State St
Erie, PA 16508-1832

Mailing address

2185 W 8TH St
Erie, PA 16505-4747
Phone (814) 464-8311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW016074PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1285954925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054747",
            "telephone_number": "814-464-8311",
            "fax_number": "814-464-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081832",
            "telephone_number": "814-454-5686",
            "fax_number": "814-454-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGIBNEY",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW016074",
            "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 Jun 4, 2010; 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.