Erica M Allen, PCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C0700430 Issued in OH

Practice address

25111 Country Club Blvd
Suite 290
North Olmsted, OH 44070-5345

Phone

(216) 831-6611

Fax

(440) 614-2526

NPI assigned

Aug 10, 2010

Last updated

Mar 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Erica M Allen Other name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pbc.ericaallen@140094.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological & Behavioral Consultants, LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713
  Medicare reassignment NPD

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1386959708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25111 COUNTRY CLUB BLVD",
            "address_2": "SUITE 290",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705345",
            "telephone_number": "216-831-6611",
            "fax_number": "440-614-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25111 COUNTRY CLUB BLVD",
            "address_2": "SUITE 290",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705345",
            "telephone_number": "216-831-6611",
            "fax_number": "440-614-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ERICA",
        "middle_name": "M",
        "credential": "PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C0700430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341458441",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "ALLEN",
            "middle_name": "M",
            "credential": "PCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexander Alavanja, DDS
• Siwar Albabeli
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• Allcare Dental & Dentures of Ohio - Bates
• Michelle M Althen
• Rachel Amable
• Amramp Cleveland
• Andrea Anderson
• Kathleen O Anderson, RN

• Professional Counselor in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.