Individual provider Active NPI

Kerry Ronald Reed, LPC

  • Professional Counselor
  • North Huntingdon, PA
National Provider Identifier
1760761787
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005973 Issued in PA
Practice address
13380 State Route 30
Suite 5
North Huntingdon, PA 15642-1125
Phone
(724) 205-9759
Fax
(724) 515-7238
NPI assigned
Aug 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2016

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 PC005973 PA Primary

Addresses

Primary practice location

13380 State Route 30
Suite 5
North Huntingdon, PA 15642-1125

Mailing address

617 E 1St Ave
Derry, PA 15627-1907
Phone (724) 205-9759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 28, 2024 through Oct 28, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC005973PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seyler Berkebile Marriage & Family Therapy PastSince Nov 19, 2014 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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1760761787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E 1ST AVE",
            "city": "DERRY",
            "state": "PA",
            "postal_code": "156271907",
            "telephone_number": "724-205-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13380 STATE ROUTE 30",
            "address_2": "SUITE 5",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156421125",
            "telephone_number": "724-205-9759",
            "fax_number": "724-515-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KERRY",
        "middle_name": "RONALD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.