Active NPI
Erica Jean States, LPC
- Professional Counselor
- Reynoldsville, PA
National Provider Identifier
1679035679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC011217
- Practice address
- 3576 Desire Rd
Reynoldsville, PA 15851-4714 - Phone
- (814) 201-1529
- NPI assigned
- Apr 1, 2019
- Last updated
- Dec 21, 2024
- 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 | PC011217 | PA | Primary |
Addresses
Primary practice location
3576 Desire Rd
Reynoldsville, PA 15851-4714
Mailing address
3576 Desire Rd
Reynoldsville, PA 15851-4714
Phone (814) 201-1529
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC011217 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soul Studio Counseling, LLC | Professional | Current | Accepting new patients |
Locations
4003 Saltsburg Rd
Ste 102
Murrysville, PA 15668
Phone (412) 407-5877
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Reynoldsville, PA
- NPI 1801624705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734739200000",
"number": "1679035679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3576 DESIRE RD",
"city": "REYNOLDSVILLE",
"state": "PA",
"postal_code": "158514714",
"telephone_number": "814-201-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3576 DESIRE RD",
"city": "REYNOLDSVILLE",
"state": "PA",
"postal_code": "158514714",
"telephone_number": "814-201-1529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATES",
"first_name": "ERICA",
"middle_name": "JEAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2024-12-21",
"certification_date": "2024-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC011217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reynoldsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.