Individual provider Active NPI

Heather Workman, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
National Provider Identifier
1285290411
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.170223 Issued in OH
Practice address
7344 Pearl Rd Ste 2B
Cleveland, OH 44130-9602
Phone
(440) 625-0081
Fax
(440) 625-0091
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.170223 OH Primary
Peer Specialist 175T00000X APS.002535 OH
Prevention Professional 405300000X APP-000537655 OH

Addresses

Primary practice location

7344 Pearl Rd Ste 2B
Cleveland, OH 44130-9602

Mailing address

20123 Lorain Rd Apt 206
Fairview Park, OH 44126-3439
Phone (440) 454-5042

Other identifiers 1

IdentifierTypeStateIssuer
0382066MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CDCA.170223OHMDAddiction (Substance Use Disorder) Counselor
APS.002535OHMDPeer Specialist
APP-000537655OHMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Health & Wellness Corporation Addiction (Substance Use Disorder) CurrentSince Aug 28, 2022 Accepting new patients
Serenity Health & Wellness Corporation Addiction (Substance Use Disorder) CurrentSince Feb 1, 2022 Accepting new patients
R Bell Consultants Addiction (Substance Use Disorder) PastSince Oct 1, 2021 Accepting new patients

Locations

7344 Pearl Rd
Ste 2B
Middleburg Heights, OH 44130
Phone (440) 625-0081

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1285290411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20123 LORAIN RD APT 206",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263439",
            "telephone_number": "440-454-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7344 PEARL RD STE 2B",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441309602",
            "telephone_number": "440-625-0081",
            "fax_number": "440-625-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "HEATHER",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.170223",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.002535",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "OH",
            "license": "APP-000537655",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0382066",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.