Individual provider Active NPI

Erica Lynn Ploski, LPC

  • Professional Counselor
  • Meadville, PA
National Provider Identifier
1760464879
Registry record updated Feb 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC000870 Issued in PA
Practice address
924 Diamond Park
Meadville, PA 16335-2605
Phone
(814) 333-8733
Fax
(814) 333-8733
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2015

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 PC000870 PA Primary

Addresses

Primary practice location

924 Diamond Park
Meadville, PA 16335-2605

Mailing address

924 Diamond Park
Meadville, PA 16335-2605
Phone (814) 333-8733

Other identifiers 2

IdentifierTypeStateIssuer
551050OtherVALUE OPTIONS
1767576OtherHIGHMARK KHPW

Other names 1

  • Erica Lynn Tietz Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Counseling, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423267200000",
    "number": "1760464879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 DIAMOND PARK",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352605",
            "telephone_number": "814-333-8733",
            "fax_number": "814-333-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 DIAMOND PARK",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352605",
            "telephone_number": "814-333-8733",
            "fax_number": "814-333-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOSKI",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2015-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC000870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "551050",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK KHPW",
            "identifier": "1767576",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "TIETZ",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 7, 2015; 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.