Michaela V Jancek, M.ED., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC006620 Issued in PA

Practice address

120 East 2ND St
Northshore Psychological Associates LLC
Erie, PA 16507

Phone

(814) 452-8213

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1720156771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAST 2ND ST",
            "address_2": "NORTHSHORE PSYCHOLOGICAL ASSOCIATES LLC",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16507",
            "telephone_number": "814-452-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAST 2ND ST",
            "address_2": "NORTHSHORE PSYCHOLOGICAL ASSOCIATES LLC",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16507",
            "telephone_number": "814-452-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANCEK",
        "first_name": "MICHAELA",
        "middle_name": "V",
        "credential": "M.ED., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC006620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Erie, PA
• Providers in Erie, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.