Individual provider Active NPI

Erin Deitzler, MED

  • Counselor
  • Saint Marys, WV
National Provider Identifier
1083955280
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
210 2ND St
Suite 5
Saint Marys, WV 26170-1097
Phone
(304) 684-2656
Fax
(304) 684-2658
NPI assigned
Mar 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

210 2ND St
Suite 5
Saint Marys, WV 26170-1097

Mailing address

210 2ND St
Suite 5
Saint Marys, WV 26170-1097
Phone (304) 684-2656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2494WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Therapy, LLC CurrentSince Aug 22, 2024 Accepting new patients
Westbrook Health Services, Inc Past Accepting new patients

Locations

225 College Pkwy
Ste 101
Parkersburg, WV 26104
Phone (304) 485-3345

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1083955280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 2ND ST",
            "address_2": "SUITE 5",
            "city": "SAINT MARYS",
            "state": "WV",
            "postal_code": "261701097",
            "telephone_number": "304-684-2656",
            "fax_number": "304-684-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 2ND ST",
            "address_2": "SUITE 5",
            "city": "SAINT MARYS",
            "state": "WV",
            "postal_code": "261701097",
            "telephone_number": "304-684-2656",
            "fax_number": "304-684-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEITZLER",
        "first_name": "ERIN",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, WV

Sources for this page

Verify at the official NPI Registry.