Active NPI
Aaron Wismar, LPC, NCC
- Professional Counselor
- Erie, PA
National Provider Identifier
1336647932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008179
- Practice address
- 135 E 38TH St
Erie, PA 16504-1559 - Phone
- (814) 860-2038
- NPI assigned
- Jan 29, 2018
- Last updated
- Jan 29, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC008179 | PA | Primary |
Addresses
Primary practice location
135 E 38TH St
Erie, PA 16504-1559
Mailing address
6632 Wallace Ave
Harborcreek, PA 16421-1403
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC008179 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1336647932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6632 WALLACE AVE",
"city": "HARBORCREEK",
"state": "PA",
"postal_code": "164211403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 E 38TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165041559",
"telephone_number": "814-860-2038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISMAR",
"first_name": "AARON",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-29",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008179",
"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 Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.