Active NPI
Erin Regina Ridley, NCC, LPC
- Professional Counselor
- Butler, PA
National Provider Identifier
1891038865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC006103
- Practice address
- 200 Renaissance Dr
Butler, PA 16001 - Phone
- (724) 287-1880
- NPI assigned
- Mar 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC006103 | PA | Primary |
Addresses
Primary practice location
200 Renaissance Dr
Butler, PA 16001
Mailing address
814 S Main St
Butler, PA 16001-6327
Phone (724) 290-1025
Other practice location 1
112 Hillvue Drive
Irene Stacy Community Mental Health Center
Butler, PA 16001-3426
Phone (724) 287-0791 ext. 2153
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC006103 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1891038865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 S MAIN ST",
"city": "BUTLER",
"state": "PA",
"postal_code": "160016327",
"telephone_number": "724-290-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 RENAISSANCE DR",
"city": "BUTLER",
"state": "PA",
"postal_code": "16001",
"telephone_number": "724-287-1880"
}
],
"practiceLocations": [
{
"address_1": "112 Hillvue Drive",
"address_2": "Irene Stacy Community Mental Health Center",
"address_purpose": "LOCATION",
"city": "Butler",
"state": "PA",
"postal_code": "160013426",
"country_code": "US",
"telephone_number": "724-287-0791 x2153",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIDLEY",
"first_name": "ERIN",
"middle_name": "REGINA",
"credential": "NCC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-28",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC006103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.