Active NPI
Emily Bumgarner, LPC
- Professional Counselor
- State College, PA
National Provider Identifier
1972114346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012577
- Practice address
- 143 Hospital Dr Ste 302
State College, PA 16803-5500 - Phone
- (814) 278-4680
- Fax
- (814) 235-1523
- NPI assigned
- Aug 11, 2020
- 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 | PC012577 | PA | Primary |
Addresses
Primary practice location
143 Hospital Dr Ste 302
State College, PA 16803-5500
Mailing address
155 Wellness Way
State College, PA 16803-6702
Phone (814) 231-7000
Other practice location 1
3208 Benner Pike
Bellefonte, PA 16823-8475
Phone (814) 359-7999
Other practice location 2
1700 Old Gatesburg Rd Ste 310
State College, PA 16803-2276
Phone (814) 237-3122
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | twilliams@cenclear.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
155 Wellness Way
State College, PA 16803-6702
155 Wellness Way
State College, PA 16803-6797
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC012577 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Over Matter Professional Counseling Services | Professional | Past | Accepting new patients |
| Cen Clear Child Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Philipsburg, PA
- NPI 1841289733
-
- Professional Counselor
- Bellefonte, PA
- NPI 1619422615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1972114346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 WELLNESS WAY",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168036702",
"telephone_number": "814-231-7000",
"fax_number": "814-231-7098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 HOSPITAL DR STE 302",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168035500",
"telephone_number": "814-278-4680",
"fax_number": "814-235-1523"
}
],
"practiceLocations": [
{
"address_1": "3208 Benner Pike",
"address_purpose": "LOCATION",
"city": "Bellefonte",
"state": "PA",
"postal_code": "168238475",
"country_code": "US",
"telephone_number": "814-359-7999",
"fax_number": "814-359-7201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 Old Gatesburg Rd Ste 310",
"address_purpose": "LOCATION",
"city": "State College",
"state": "PA",
"postal_code": "168032276",
"country_code": "US",
"telephone_number": "814-237-3122",
"fax_number": "814-237-7178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUMGARNER",
"first_name": "EMILY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012577",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "twilliams@cenclear.org",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "3208 Benner Pike",
"city": "Bellefonte",
"state": "PA",
"country_code": "US",
"postal_code": "168238475",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.