Individual provider Active NPI

Heidi Mae Kloss, PHD, ATR-BC, LPCC-S

  • Mental Health Counselor
  • Westlake, OH
National Provider Identifier
1295860526
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0008032 Issued in OH
Practice address
24600 Center Ridge Road
Suite 285
Westlake, OH 44145-5691
Phone
(216) 313-8875
Fax
(440) 471-7055
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E0008032 OH Primary

Addresses

Primary practice location

24600 Center Ridge Road
Suite 285
Westlake, OH 44145-5691

Mailing address

24600 Center Ridge Road
Suite 285
Westlake, OH 44145-5691
Phone (216) 313-8875

Other identifiers 1

IdentifierTypeStateIssuer
CS1830400299MedicaidOH

Other names 1

  • Heidi Mae Sliter Former name

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
I20240520003195 OH Practitioner - Mental Health Counselor 8224470455 Practice locations: Westlake, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1295860526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 CENTER RIDGE ROAD",
            "address_2": "SUITE 285",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455691",
            "telephone_number": "216-313-8875",
            "fax_number": "440-471-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 CENTER RIDGE ROAD",
            "address_2": "SUITE 285",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455691",
            "telephone_number": "216-313-8875",
            "fax_number": "440-471-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSS",
        "first_name": "HEIDI",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "PHD, ATR-BC, LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0008032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CS1830400299",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "SLITER",
            "middle_name": "MAE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.