Active NPI
Erin Deitzler, MED
- Counselor
- Saint Marys, WV
National Provider Identifier
1083955280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2494 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Day Therapy, LLC | Current | 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.
-
- Mental Health Counselor
- Parkersburg, WV
- NPI 1922581610
-
- Community/Behavioral Health Agency
- Parkersburg, WV
- NPI 1568889525
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.