Individual provider Active NPI

Eric Sierra, LPCC

  • Professional Counselor
  • Defiance, OH
National Provider Identifier
1124683867
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2303612 Issued in OH
Practice address
23778 Watson Rd
Defiance, OH 43512-8759
Phone
(419) 906-0939
NPI assigned
May 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2303612 OH Primary

Addresses

Primary practice location

23778 Watson Rd
Defiance, OH 43512-8759

Mailing address

23778 Watson Rd
Defiance, OH 43512-8759
Phone (419) 906-0939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321000699 OH Practitioner - Clinical Social Worker 3870015662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Counseling Center, Inc.Group PAC ID 0244281574, 6 clinicians

Practice addresses (Care Compare)

835 N Locust St
Ottawa, OH 45875-1216
Phone (419) 523-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Counseling Center, Inc. CurrentSince Jan 16, 2025 Accepting new patients
Pathways Counseling Center, Inc. CurrentSince Jan 16, 2025 Accepting new patients

Locations

835 N Locust St
Ottawa, OH 45875
Phone (419) 523-4300

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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1124683867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23778 WATSON RD",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435128759",
            "telephone_number": "419-906-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23778 WATSON RD",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435128759",
            "telephone_number": "419-906-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA",
        "first_name": "ERIC",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-08",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2303612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

Verify at the official NPI Registry.