Individual provider Active NPI

Chance Nelson

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1497423289
Registry record updated Sep 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC013713 Issued in PA
Practice address
1621 Sassafras St
Erie, PA 16502-1858
Phone
(814) 871-4725
Fax
(814) 871-0057
NPI assigned
Sep 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2021

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 PC013713 PA Primary

Addresses

Primary practice location

1621 Sassafras St
Erie, PA 16502-1858

Mailing address

100 Barber PL
Erie, PA 16507-1863
Phone (814) 453-7661

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
I20240404000505 PA Practitioner - Mental Health Counselor 8224476601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkside Psychological AssociatesGroup PAC ID 3577990415, 6 clinicians

Practice addresses (Care Compare)

2028 Filmore Ave
Erie, PA 16506-2939
Phone (814) 807-0681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC013713PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Barr Professional CurrentSince Sep 28, 2021 Accepting new patients
Dr Gertrude a Barber Center Inc CurrentSince Sep 12, 2021 Accepting new patients
Parkside Psychological Associates CurrentSince Mar 26, 2024 Accepting new patients

Locations

1621 Sassafras St
Erie, PA 16502
Phone (814) 397-2450

100 Barber Pl
Erie, PA 16507
Phone (814) 453-7661

2028 Filmore Ave
Erie, PA 16506
Phone (814) 807-0681

8406 Sharon Mercer Rd
Ste 101
Mercer, PA 16137
Phone (814) 807-0861

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/barberinstitute/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1497423289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BARBER PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071863",
            "telephone_number": "814-453-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 SASSAFRAS ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021858",
            "telephone_number": "814-871-4725",
            "fax_number": "814-871-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CHANCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.