JOHN S. PETKAC LPC
NPI 1265432843
Counselor - Professional in Erie, PA

Q: What is John Petkac's NPI number?

The NPI number for John Petkac is 1265432843. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Q: What is John Petkac's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for John Petkac was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 26, 2005

4021 W 12TH ST, ERIE, PA 16505(814) 882-3861(814) 833-7944 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About John S. Petkac Lpc NPPES

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

JOHN S. PETKAC LPC (NPI 1265432843) is an individual professional provider in Erie, Pennsylvania, licensed in Pennsylvania (PC002741) and active in the NPI registry since July 2005. He maintains a secondary practice location in Lock Haven.

NPPES Registry Identity

NPI1265432843

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJOHN S. PETKACCredential: LPC

Location Address4021 W 12TH STErie, PA 16505-3354

Mailing Address4021 W 12th StErie, PA 16505-3357 · (814) 882-3861 · Fax (814) 833-7944

Phone(814) 882-3861

Fax(814) 833-7944

Sole ProprietorYes

Enumeration DateJuly 26, 2005

Last NPPES UpdateMarch 3, 2026

NPPES CertifiedMarch 3, 2026

✔ NPI 1265432843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in PA · PC002741

4021 W 12TH ST, Erie, PA 16505

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Secondary Practice Location 1

Location 1120 S Highland StLock Haven, PA 17745-2812 · Phone (570) 748-7173 ext. 87173

Other Providers at the Same Location NPPES 4

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

MR. MICHELLE LYNN ADLER NCC, LPC

Counselor (Professional)

4021 W 12TH ST
ERIE, PA 16505

Erie County (814) 504-2628

MS. JUDITH SIMPSON BUCHMAN MA LPC

Counselor (Professional)

4021 W 12TH ST
ERIE, PA 16505

Erie County (814) 392-1865

MORRIS FAMILY HOME CARE AGENCY

Home Health

4021 W 12TH ST
ERIE, PA 16505

Erie County (814) 544-5551

PETKAC PSYCHOTHERAPY SERVICES

Community/Behavioral Health

4021 W 12TH ST
ERIE, PA 16505

Erie County (814) 882-3861

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Petkac's NPI number?

The NPI number for John Petkac is 1265432843. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is John Petkac located?

John Petkac practices at 4021 W 12th St, Erie, PA 16505. The listed phone number is (814) 882-3861.

What is John Petkac's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for John Petkac was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.