Individual provider Active NPI

Sierra Ann-Marie White

  • Mental Health Counselor
  • New Albany, OH
National Provider Identifier
1174097430
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5195 Hampsted Village Center Way # 735
New Albany, OH 43054-8331
Phone
(614) 943-2306
Fax
(614) 807-6885
NPI assigned
Jan 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X OH Primary

Addresses

Primary practice location

5195 Hampsted Village Center Way # 735
New Albany, OH 43054-8331

Mailing address

5195 Hampsted Village Center Way # 735
New Albany, OH 43054-8331
Phone (614) 943-2306

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
I20240307002077 OH Practitioner - Mental Health Counselor 7911343397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast IncGroup PAC ID 8426014853, 48 clinicians

Practice addresses (Care Compare)

16 W Long St
Columbus, OH 43215-2815
Phone (614) 225-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast, Inc CurrentSince Aug 19, 2024 Accepting new patients
Southeast, Inc CurrentSince Aug 19, 2024 Accepting new patients
Psychological & Behavioral Consultants, LLC Mental Health CurrentSince Jan 22, 2024 Accepting new patients

Locations

2 Easton Oval
Ste 115
Columbus, OH 43219
Phone (614) 934-6890

16 W Long St
Columbus, OH 43215

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

Organizations & group practices 3

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": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1174097430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5195 HAMPSTED VILLAGE CENTER WAY # 735",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548331",
            "telephone_number": "614-943-2306",
            "fax_number": "614-807-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5195 HAMPSTED VILLAGE CENTER WAY # 735",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548331",
            "telephone_number": "614-943-2306",
            "fax_number": "614-807-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SIERRA",
        "middle_name": "ANN-MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

Verify at the official NPI Registry.