Individual provider Active NPI

Bridget Tara McVan, PH.D., L.P.C.

  • Professional Counselor
  • Bethlehem, PA
National Provider Identifier
1578594271
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC003771 Issued in PA
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

Updated by the provider on Jul 8, 2007

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Indian Creek Foundation CurrentSince Dec 4, 2024 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.

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

Verify at the official NPI Registry.