Active NPI
Lee Bard II
- Mental Health Counselor
- Lewisburg, PA
National Provider Identifier
1942939228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC014071
- Practice address
- 1 Dent Dr
Lewisburg, PA 17837-2029 - Phone
- (570) 577-1604
- NPI assigned
- Jun 10, 2022
- Last updated
- Jun 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC014071 | PA | Primary |
Addresses
Primary practice location
1 Dent Dr
Lewisburg, PA 17837-2029
Mailing address
308 Saint George St
Lewisburg, PA 17837-1836
Phone (260) 553-1617
Other practice location 1
308 Saint George St
Lewisburg, PA 17837-1836
Phone (260) 553-1617
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 |
|---|---|---|---|
| PC014071 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1942939228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 SAINT GEORGE ST",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178371836",
"telephone_number": "260-553-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DENT DR",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178372029",
"telephone_number": "570-577-1604"
}
],
"practiceLocations": [
{
"address_1": "308 Saint George St",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178371836",
"country_code": "US",
"telephone_number": "260-553-1617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARD",
"first_name": "LEE",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-10",
"last_updated": "2022-06-10",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC014071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.