Active NPI
Dale Humes
- Professional Counselor
- Meadville, PA
National Provider Identifier
1578078333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC001095
- Practice address
- 996 S Main St Ste 102
Meadville, PA 16335-3204 - Phone
- (814) 807-0487
- Fax
- (888) 538-2885
- NPI assigned
- Dec 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | PC001095 | PA | Primary |
Addresses
Primary practice location
996 S Main St Ste 102
Meadville, PA 16335-3204
Mailing address
996 S Main St Ste 102
Meadville, PA 16335-3204
Phone (814) 807-0487
Other practice location 1
898 Park Ave Ste 16
Meadville, PA 16335-3335
Phone (814) 807-0487
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC001095 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shannon Deets Counseling LLC | Professional | Past | 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.
-
- Professional Counselor
- Meadville, PA
- NPI 1275950693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1578078333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "996 S MAIN ST STE 102",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353204",
"telephone_number": "814-807-0487",
"fax_number": "888-538-2885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "996 S MAIN ST STE 102",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353204",
"telephone_number": "814-807-0487",
"fax_number": "888-538-2885"
}
],
"practiceLocations": [
{
"address_1": "898 Park Ave Ste 16",
"address_purpose": "LOCATION",
"city": "Meadville",
"state": "PA",
"postal_code": "163353335",
"country_code": "US",
"telephone_number": "814-807-0487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUMES",
"first_name": "DALE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-02",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC001095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.