MS. PRUDENCE J SHAULIS LPC
NPI 1245541549
Counselor in Johnstown, PA

Q: What is Prudence Shaulis's NPI number?

The NPI number for Prudence Shaulis is 1245541549. It was assigned to this individual provider in the NPPES registry on July 1, 2010.

Q: What is Prudence Shaulis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Prudence Shaulis was last updated on July 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 01, 2010PECOS Enrolled

865 EISENHOWER BLVD, JOHNSTOWN, PA 15904(814) 266-8840(814) 266-4922 Get Directions Write a Review

NPPES record last updated: July 29, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Ms. Prudence J Shaulis Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PRUDENCE J SHAULIS LPC (NPI 1245541549) is an individual counselor in Johnstown, Pennsylvania and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1245541549

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. PRUDENCE J SHAULISCredential: LPC

Location Address865 EISENHOWER BLVDJohnstown, PA 15904-3327

Mailing Address1322 Eisenhower Blvd.Johnstown, PA 15904-3307 · (814) 266-8840 · Fax (814) 266-2176

Phone(814) 266-8840

Fax(814) 266-4922

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 1, 2010

Last NPPES UpdateJuly 29, 2013

✔ NPI 1245541549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

865 EISENHOWER BLVD, Johnstown, PA 15904

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Prudence J Shaulis Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597234872

PECOS Enrollment IDI20260515001457

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON BERKEY LCSW

Social Worker (Clinical)