Healthcare Provider Details

I. General information

NPI: 1386567725
Provider Name (Legal Business Name): JONAH NICOLAS SHUMAKER LAPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1932 W 8TH ST
ERIE PA
16505-4937
US

IV. Provider business mailing address

1932 W 8TH ST
ERIE PA
16505-4937
US

V. Phone/Fax

Practice location:
  • Phone: 814-455-4009
  • Fax: 814-455-7715
Mailing address:
  • Phone: 814-455-4009
  • Fax: 814-455-7715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC002642
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: