Michelle Wick, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC009773 Issued in PA

Practice address

823 Filmore Ave
Erie, PA 16505-4127

Phone

(814) 580-9167

Fax

(866) 273-3056

NPI assigned

Aug 4, 2017

Last updated

Oct 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Locations

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.

• Life Balance Counseling and Wellness, LLC

  • Professional Counselor
  • Erie, PA
  • NPI 1255856613
  NPD
• Edinboro Counseling and Psychological Services

  • Psychologist
  • Edinboro, PA
  • NPI 1194266254
  NPD (past)
• Edinboro Counseling and Psychological Services

  • Professional Counselor
  • Edinboro, PA
  • NPI 1669713178
  NPD (past)

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1336664903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 FILMORE AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054127",
            "telephone_number": "814-580-9167",
            "fax_number": "866-273-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 FILMORE AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054127",
            "telephone_number": "814-580-9167",
            "fax_number": "866-273-3056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7052 Route 6N",
            "address_purpose": "LOCATION",
            "city": "Edinboro",
            "state": "PA",
            "postal_code": "164129610",
            "country_code": "US",
            "telephone_number": "814-734-3975",
            "fax_number": "814-734-1265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICK",
        "first_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Ann White, RPH
• Alexis Lynne Whiteford
• Leonard John Whiteman, PHARMACIST
• Lauren Whitlow, PSYD
• Benjamin Michael Whitman
• Eardly K P Wickramasinghe, MD
• Karin Wickwire
• Meredith Widecan
• Brian Douglas Wieczorek, RPH
• Ellen Arlene Wieczorek, RN

• 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 Oct 25, 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.