Active NPI
Bridget Tara McVan, PH.D., L.P.C.
- Professional Counselor
- Bethlehem, PA
National Provider Identifier
1578594271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC003771
- Practice address
- 1507 Elliot Ave
Bethlehem, PA 18018-4719 - Phone
- (610) 866-2313
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC003771 | PA | Primary |
Addresses
Primary practice location
1507 Elliot Ave
Bethlehem, PA 18018-4719
Mailing address
1507 Elliot Ave
Bethlehem, PA 18018-4719
Phone (610) 866-2313
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250109001841 | PA | Practitioner - Mental Health Counselor | 9830548742 |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
420 Cowpath Rd
Souderton, PA 18964-2036
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian Creek Foundation | Current | Accepting new patients |
Locations
420 Cowpath Rd
Souderton, PA 18964
Phone (267) 203-1500
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.
-
- Community/Behavioral Health Agency
- Souderton, PA
- NPI 1023163854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578594271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 ELLIOT AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180184719",
"telephone_number": "610-866-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 ELLIOT AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180184719",
"telephone_number": "610-866-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCVAN",
"first_name": "BRIDGET",
"middle_name": "TARA",
"name_prefix": "Dr.",
"credential": "PH.D., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC003771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.