Individual provider Active NPI

Regina Tarver, LPC

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1851919955
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC010002 Issued in PA
Practice address
3910 Caughey Rd Ste 120
Erie, PA 16506-4097
Phone
(814) 314-9207
Fax
(855) 558-5841
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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 PC010002 PA Primary

Addresses

Primary practice location

3910 Caughey Rd Ste 120
Erie, PA 16506-4097

Mailing address

4108 Longview Ave
Erie, PA 16510-3536
Phone (814) 881-8671

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC010002PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Counseling LLC CurrentSince Aug 28, 2021 Accepting new patients

Locations

3910 Caughey Rd
Ste 120
Erie, PA 16506
Phone (814) 314-9207

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": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1851919955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 LONGVIEW AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165103536",
            "telephone_number": "814-881-8671",
            "fax_number": "855-558-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 CAUGHEY RD STE 120",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064097",
            "telephone_number": "814-314-9207",
            "fax_number": "855-558-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARVER",
        "first_name": "REGINA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.