Individual provider Active NPI

Edward J. Horan, MS NCC LPC

  • Professional Counselor
  • Mechanicsburg, PA
National Provider Identifier
1962484170
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC001648 Issued in PA
Practice address
5006 Lenker St
2ND Floor
Mechanicsburg, PA 17050-2440
Phone
(717) 730-0733
Fax
(717) 730-0696
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2008

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 PC001648 PA Primary

Addresses

Primary practice location

5006 Lenker St
2ND Floor
Mechanicsburg, PA 17050-2440

Mailing address

1757 Creek Vista Dr
New Cumberland, PA 17070-2213
Phone (717) 525-1906

Other identifiers 1

IdentifierTypeStateIssuer
50018305OtherPAHIGHMARK BLUE SHIELD

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC001648PAMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1962484170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 CREEK VISTA DR",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170702213",
            "telephone_number": "717-525-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 LENKER ST",
            "address_2": "2ND FLOOR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502440",
            "telephone_number": "717-730-0733",
            "fax_number": "717-730-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAN",
        "first_name": "EDWARD",
        "middle_name": "J.",
        "credential": "MS NCC LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "50018305",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.