Individual provider Active NPI

Dale Humes

  • Professional Counselor
  • Meadville, PA
National Provider Identifier
1578078333
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC001095 Issued in PA
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

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PC001095PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Deets Counseling LLC Professional PastSince Oct 27, 2019 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": "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.

Verify at the official NPI Registry.