Individual provider Active NPI

Shelby Neal, NCC, LPC, ATR, CAADC

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1497535702
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015622 Issued in PA
Practice address
3910 Caughey Rd
Erie, PA 16506-4096
Phone
(814) 746-4307
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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 PC015622 PA Primary

Addresses

Primary practice location

3910 Caughey Rd
Erie, PA 16506-4096

Mailing address

1842 High St
Erie, PA 16509-1761
Phone (724) 766-1579

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
I20240612003630 PA Practitioner - Mental Health Counselor 3173065505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stairways Behavioral HealthGroup PAC ID 0143117697, 16 clinicians

Practice addresses (Care Compare)

2911 State St
Erie, PA 16508-1831
Phone (814) 464-8311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Alchemy Art and Therapy, LLC Professional CurrentSince Jan 14, 2024 Accepting new patients
Stairways Behavioral Health Professional CurrentSince May 5, 2024 Accepting new patients
Stairways Behavioral Health Past Accepting new patients

Locations

2185 W 8th St
Erie, PA 16505
Phone (814) 464-8311

2911 State St
Erie, PA 16508
Phone (814) 453-5806

2910 State St
Erie, PA 16508
Phone (814) 454-5686

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": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1497535702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 HIGH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091761",
            "telephone_number": "724-766-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 CAUGHEY RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064096",
            "telephone_number": "814-746-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "SHELBY",
        "credential": "NCC, LPC, ATR, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.