Individual provider Active NPI

Heidi Spiegel (Ferstl), MSW, LISW

  • Clinical Social Worker
  • Dayton, OH
National Provider Identifier
1407834765
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0009032 Issued in OH
Practice address
2591 Miamisburg Centerville Rd Ste 301
Dayton, OH 45459-3706
Phone
(614) 459-4490
Fax
(937) 949-7700
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 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 I0009032 OH
Clinical Social Worker 1041C0700X I0009032 OH Primary

Addresses

Primary practice location

2591 Miamisburg Centerville Rd Ste 301
Dayton, OH 45459-3706

Mailing address

7525 Paragon Rd Unit 750031
Dayton, OH 45475-5003
Phone (937) 503-7171

Other practice location 1

28 E Rahn Rd
Suite 105
Kettering, OH 45429-5461
Phone (937) 434-6840

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0009032OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kind Mind Counseling LLC Clinical CurrentSince Apr 17, 2022 Accepting new patients

Locations

7525 Paragon Rd
Unit 750031
Dayton, OH 45475

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1407834765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 PARAGON RD UNIT 750031",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454755003",
            "telephone_number": "937-503-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 MIAMISBURG CENTERVILLE RD STE 301",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593706",
            "telephone_number": "614-459-4490",
            "fax_number": "937-949-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 E Rahn Rd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454295461",
            "country_code": "US",
            "telephone_number": "937-434-6840",
            "fax_number": "937-436-9408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIEGEL (FERSTL)",
        "first_name": "HEIDI",
        "name_prefix": "Mrs.",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I0009032",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0009032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.