Individual provider Active NPI

Erin K Seitz

  • Clinical Social Worker
  • Celina, OH
National Provider Identifier
1245700814
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203832 Issued in OH
Practice address
427 E Market St
Celina, OH 45822
Phone
(419) 584-5123
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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 S.1800761-TRNE
Clinical Social Worker 1041C0700X I.2203832 OH Primary

Addresses

Primary practice location

427 E Market St
Celina, OH 45822

Mailing address

5695 Depweg Rd
Celina, OH 45822
Phone (419) 305-0877

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
I20240307003626 OH Practitioner - Clinical Social Worker 5698111011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Momentum Counseling and Consultation, LLCGroup PAC ID 3971880121, 16 clinicians

Practice addresses (Care Compare)

112 /2 N Main St
Celina, OH 45822-1729
Phone (419) 584-5123

401 E Market St
Celina, OH 45822-1736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2203832OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Counseling and Consultation, LLC Clinical CurrentSince Jan 26, 2024 Accepting new patients

Locations

401 E Market St
Celina, OH 45822
Phone (419) 305-7214

441 E Market St
Celina, OH 45822
Phone (419) 584-5123

112 N Main St
Celina, OH 45822
Phone (419) 584-5123

427 E Market St
Celina, OH 45822
Phone (419) 305-7214

500 E Court St
Sidney, OH 45365
Phone (937) 492-6970

1385 Stonycreek Rd
Ste Ab
Troy, OH 45373

Organizations & group practices 1

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": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1245700814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5695 DEPWEG RD",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "45822",
            "telephone_number": "419-305-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E MARKET ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "45822",
            "telephone_number": "419-584-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "ERIN",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "S.1800761-TRNE",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

Verify at the official NPI Registry.