Healthcare Provider Details

I. General information

NPI: 1174234884
Provider Name (Legal Business Name): JESSIE A HALAPIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2022
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N THOMPSON LN STE E
IRWIN PA
15642-9305
US

IV. Provider business mailing address

131 MARKET ST
JOHNSTOWN PA
15901-1628
US

V. Phone/Fax

Practice location:
  • Phone: 724-382-4941
  • Fax:
Mailing address:
  • Phone: 814-535-2277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020540
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: