Individual provider Active NPI

Ekaterina Vasilievna Escobar, MS, LPC

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1396080180
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008754 Issued in PA
Practice address
3939 W Ridge Rd Ste A204
Erie, PA 16506-1884
Phone
(562) 852-5661
NPI assigned
Dec 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC008754 PA Primary

Addresses

Primary practice location

3939 W Ridge Rd Ste A204
Erie, PA 16506-1884

Mailing address

7687 Red Bud TRL
Fairview, PA 16415-1250
Phone (562) 852-5661

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC008754PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Perspective Counseling, PLLC Professional CurrentSince Mar 17, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1396080180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7687 RED BUD TRL",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164151250",
            "telephone_number": "562-852-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 W RIDGE RD STE A204",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061884",
            "telephone_number": "562-852-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "EKATERINA",
        "middle_name": "VASILIEVNA",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008754",
            "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 May 2, 2017; 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.