Individual provider Active NPI

Eric David Treaster, LPC

  • Professional Counselor
  • Yeagertown, PA
National Provider Identifier
1972151009
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC013286 Issued in PA
Practice address
25 Rothermel Dr
Yeagertown, PA 17099-9707
Phone
(717) 248-8540
NPI assigned
Sep 2, 2019
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC013286 PA Primary
Behavior Analyst 103K00000X BH004486 PA

Addresses

Primary practice location

25 Rothermel Dr
Yeagertown, PA 17099-9707

Mailing address

25 Rothermel Dr
Yeagertown, PA 17099-9707
Phone (717) 248-8540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905000054 PA Practitioner - Mental Health Counselor 6800336892 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Supportive Care of Pennsylvania LLCGroup PAC ID 0143521211, 91 clinicians
Moodrx LLCGroup PAC ID 6709318256, 8 clinicians
Wellspring Counseling CenterGroup PAC ID 6901247097, 2 clinicians

Practice addresses (Care Compare)

2109 Red Lion Rd
Philadelphia, PA 19115-1711
Phone (718) 298-4375

308 Jones CT
Exton, PA 19341-2367
Phone (610) 613-7823

516 W 4TH St
Lewistown, PA 17044-2083
Phone (717) 363-4973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BH004486PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Treaster, LLC Current Accepting new patients
Supportive Care of Pennsylvania LLC CurrentSince Dec 15, 2025 Accepting new patients
Wellspring Counseling Center CurrentSince Jul 7, 2024 Accepting new patients
Eric Treaster, LLC Current Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Jul 1, 2025 Accepting new patients
Moodrx LLC Professional CurrentSince Jul 17, 2025 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1972151009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROTHERMEL DR",
            "city": "YEAGERTOWN",
            "state": "PA",
            "postal_code": "170999707",
            "telephone_number": "717-248-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROTHERMEL DR",
            "city": "YEAGERTOWN",
            "state": "PA",
            "postal_code": "170999707",
            "telephone_number": "717-248-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREASTER",
        "first_name": "ERIC",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-02",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013286",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH004486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yeagertown, PA

Sources for this page

Verify at the official NPI Registry.