Individual provider Active NPI

Paula Srock, LPC

  • Professional Counselor
  • Du Bois, PA
National Provider Identifier
1841093473
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2910 Oklahoma Salem Rd
Du Bois, PA 15801-5832
Phone
(814) 342-5678
NPI assigned
Mar 29, 2025
Last updated
Mar 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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 Primary

Addresses

Primary practice location

2910 Oklahoma Salem Rd
Du Bois, PA 15801-5832

Mailing address

25 Wren Dr
Du Bois, PA 15801-8717
Phone (814) 661-5364

Other practice location 1

6335 Goshen Rd
Clearfield, PA 16830-8867
Phone (814) 762-2676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508003115 PA Practitioner - Mental Health Counselor 2567989965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cen Clear Child Services IncGroup PAC ID 9436258860, 38 clinicians

Practice addresses (Care Compare)

60 Industrial Park Rd
Clearfield, PA 16830-6016
Phone (814) 342-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cen Clear Child Services, Inc. CurrentSince Apr 30, 2025 Accepting new patients
Speak Life Counseling Services PastSince Jan 17, 2021 Accepting new patients

Locations

2910 Oklahoma Salem Rd
Du Bois, PA 15801
Phone (814) 371-1023

50 Bigler Rd
Woodland, PA 16881

Organizations & group practices 2

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": "1743206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1841093473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WREN DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158018717",
            "telephone_number": "814-661-5364",
            "fax_number": "814-661-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 OKLAHOMA SALEM RD",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158015832",
            "telephone_number": "814-342-5678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6335 Goshen Rd",
            "address_purpose": "LOCATION",
            "city": "Clearfield",
            "state": "PA",
            "postal_code": "168308867",
            "country_code": "US",
            "telephone_number": "814-762-2676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SROCK",
        "first_name": "PAULA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.