NPIMap

Organization Active NPI

Lake Erie Counseling Inc

  • Clinical Social Worker
  • Erie, PA
National Provider Identifier
1598829616
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW7163L Issued in PA
Legal business name
LAKE ERIE COUNSELING INC
Practice address
301 West 10TH Street
Erie, PA 16502-1440
Phone
(814) 455-4009
Fax
(814) 455-7715
NPI assigned
Dec 21, 2006
Organization subpart
Yes
Parent organization
LAKE ERIE COUNSELING INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Mr. Dale Anthony Allgeier, LCSWNPI 1710041843
Title
President
Phone
(814) 455-4009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X CW7163L PA Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

301 West 10TH Street
Erie, PA 16502-1440

Mailing address

301 West 10TH Street
Erie, PA 16502-1440
Phone (814) 455-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419001325 PA Part B Supplier - Clinic/Group Practice 3274571336 Receives reassigned benefits from 3 practitioners
Practice locations: Erie, PA

National Provider Directory

National Provider Directory
Part of
Lake Erie Counseling Inc

Locations

301 W 10th St
Erie, PA 16502
Phone (814) 455-4009

1932 W 8th St
Erie, PA 16505
Phone (814) 455-4009

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1598829616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WEST 10TH STREET",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021440",
            "telephone_number": "814-455-4009",
            "fax_number": "814-455-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WEST 10TH STREET",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021440",
            "telephone_number": "814-455-4009",
            "fax_number": "814-455-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ERIE COUNSELING INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE ERIE COUNSELING INC",
        "enumeration_date": "2006-12-21",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "ALLGEIER",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-455-4009",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW7163L",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.