Individual provider Active NPI

Melissa Jean Hurlburt

  • Professional Counselor
  • Easton, PA
National Provider Identifier
1457985186
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012005 Issued in PA
Practice address
226 Northampton St
Easton, PA 18042-3676
Phone
(610) 258-1300
Fax
(610) 258-1301
NPI assigned
Mar 3, 2020
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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 PC012005 PA Primary

Addresses

Primary practice location

226 Northampton St
Easton, PA 18042-3676

Mailing address

1522 Kaywin Ave
Bethlehem, PA 18018-1735
Phone (717) 586-7986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109000794 PA Practitioner - Mental Health Counselor 0648621276 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC012005PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group Inc CurrentSince Dec 17, 2023 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Dec 17, 2023 Accepting new patients

Locations

257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1457985186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 KAYWIN AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181735",
            "telephone_number": "717-586-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 NORTHAMPTON ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423676",
            "telephone_number": "610-258-1300",
            "fax_number": "610-258-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLBURT",
        "first_name": "MELISSA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.