Individual provider Active NPI

James D. Huselton II, MS, LPC

  • Counselor
  • Meadville, PA
National Provider Identifier
1659738359
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC008561 Issued in PA
Practice address
18320 Conneaut Lake Rd
Meadville, PA 16335-3740
Phone
(814) 807-1316
Fax
(814) 336-1156
NPI assigned
Jan 26, 2016
Last updated
Apr 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC008561 PA Primary

Addresses

Primary practice location

18320 Conneaut Lake Rd
Meadville, PA 16335-3740

Mailing address

9256 Franklin St
Meadville, PA 16335-6466
Phone (814) 807-1316

Other practice location 1

898 Park Ave
Suite 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC008561PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Deets Counseling LLC Past Accepting new patients
Meadville Counseling Center LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1659738359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9256 FRANKLIN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163356466",
            "telephone_number": "814-807-1316",
            "fax_number": "814-336-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18320 CONNEAUT LAKE RD",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353740",
            "telephone_number": "814-807-1316",
            "fax_number": "814-336-1156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "898 Park Ave",
            "address_2": "Suite 16",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163353335",
            "country_code": "US",
            "telephone_number": "814-807-0487",
            "fax_number": "888-538-2885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSELTON",
        "first_name": "JAMES",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-26",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC008561",
            "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 Apr 16, 2018; 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.