Individual provider Active NPI

Alissa Jean Pyle, LPC

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1710556196
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC013293 Issued in PA
Practice address
3800 W 12TH St Ste 5
Erie, PA 16505-3380
Phone
(814) 204-3829
Fax
(814) 969-7733
NPI assigned
Jun 21, 2021
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 PC013293 PA Primary

Addresses

Primary practice location

3800 W 12TH St Ste 5
Erie, PA 16505-3380

Mailing address

3800 W 12TH St Ste 5
Erie, PA 16505-3380
Phone (814) 204-3829

Other practice location 1

3910 Caughey Rd
Erie, PA 16506-4096
Phone (814) 746-0783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 7, 2024 through Feb 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC013293PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Et Al, Inc, Professional CurrentSince Jul 23, 2023 Accepting new patients

Locations

3800 W 12th St
Ste 5
Erie, PA 16505
Phone (814) 838-2282

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.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1710556196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W 12TH ST STE 5",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053380",
            "telephone_number": "814-204-3829",
            "fax_number": "814-969-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W 12TH ST STE 5",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053380",
            "telephone_number": "814-204-3829",
            "fax_number": "814-969-7733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3910 Caughey Rd",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165064096",
            "country_code": "US",
            "telephone_number": "814-746-0783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYLE",
        "first_name": "ALISSA",
        "middle_name": "JEAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2023-07-17",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.