Individual provider Active NPI

Dina O'Herron, LMHC-D

  • Mental Health Counselor
  • Elmira, NY
National Provider Identifier
1538362686
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00004901 Issued in NY
Practice address
904 E Church St Ste B
Elmira, NY 14901-2842
Phone
(607) 737-5215
Fax
(607) 735-2192
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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 00004901 NY Primary

Addresses

Primary practice location

904 E Church St Ste B
Elmira, NY 14901-2842

Mailing address

904 E Church St Ste B
Elmira, NY 14901-2842
Phone (607) 737-5215

Other practice location 1

960 Pauline Ave
Pine City, NY 14871-9233
Phone (607) 398-0512

Other identifiers 1

IdentifierTypeStateIssuer
07692928MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240119002836 NY Practitioner - Mental Health Counselor 6204288772 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00004901NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Casa-Trinity, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

904 E Church St
Ste B
Elmira, NY 14901

4612 Millennium Dr
Geneseo, NY 14454
Phone (585) 443-2018

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1538362686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 E CHURCH ST STE B",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012842",
            "telephone_number": "607-737-5215",
            "fax_number": "607-735-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E CHURCH ST STE B",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012842",
            "telephone_number": "607-737-5215",
            "fax_number": "607-735-2192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 Pauline Ave",
            "address_purpose": "LOCATION",
            "city": "Pine City",
            "state": "NY",
            "postal_code": "148719233",
            "country_code": "US",
            "telephone_number": "607-398-0512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'HERRON",
        "first_name": "DINA",
        "credential": "LMHC-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "00004901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07692928",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.