Individual provider Active NPI

Michelle Hetrick, LPC

  • Mental Health Counselor
  • Punxsutawney, PA
National Provider Identifier
1841529740
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC005327 Issued in PA
Practice address
200 Prushnok Dr
Punxsutawney, PA 15767-2343
Phone
(814) 938-3310
Fax
(814) 938-6804
NPI assigned
Dec 24, 2009
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005327 PA
Mental Health Counselor 101YM0800X PC005327 PA Primary

Addresses

Primary practice location

200 Prushnok Dr
Punxsutawney, PA 15767-2343

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (814) 938-3310

Other practice location 1

265 N Findley St
Suite F
Punxsutawney, PA 15767-2064
Phone (814) 592-4686

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
I20240403002949 PA Practitioner - Mental Health Counselor 1254779796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince May 5, 2025 Accepting new patients
Primary Health Network CurrentSince May 5, 2025 Accepting new patients
Cen Clear Child Services, Inc. Mental Health CurrentSince Feb 24, 2024 Accepting new patients
Cen Clear Child Services Past Accepting new patients

Locations

29 Saltsburg Rd
Clarksburg, PA 15725
Phone (724) 726-0300

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

117 Elk Run Ave
Punxsutawney, PA 15767
Phone (814) 938-6340

200 Prushnok Dr
Punxsutawney, PA 15767
Phone (814) 938-3310

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

50 Bigler Rd
Woodland, PA 16881

Organizations & group practices 4

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": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1841529740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "814-938-3310",
            "fax_number": "814-938-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PRUSHNOK DR",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672343",
            "telephone_number": "814-938-3310",
            "fax_number": "814-938-6804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 N Findley St",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Punxsutawney",
            "state": "PA",
            "postal_code": "157672064",
            "country_code": "US",
            "telephone_number": "814-592-4686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HETRICK",
        "first_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-24",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005327",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC005327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

Verify at the official NPI Registry.