Individual provider Active NPI

Erika Christine Irwin, LPCC

  • Mental Health Counselor
  • Tallmadge, OH
National Provider Identifier
1649825399
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2203230 Issued in OH
Practice address
734 Penn Wood Dr
Tallmadge, OH 44278-2556
Phone
(330) 502-9335
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 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 E.2203230 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X C.1901846-TRNE OH

Addresses

Primary practice location

734 Penn Wood Dr
Tallmadge, OH 44278-2556

Mailing address

792 Graham Rd Ste C
Cuyahoga Falls, OH 44221-1000
Phone (330) 928-2324

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
I20240221001771 OH Practitioner - Mental Health Counselor 7214371970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Vista Psychological and Counseling Centre LLCGroup PAC ID 2365517836, 10 clinicians

Practice addresses (Care Compare)

4845 Fulton Dr NW
Suite 4
Canton, OH 44718-2300
Phone (330) 244-8782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1901846-TRNEOHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Psychological & Counseling Centre LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Portage Path Community Mental Health Center PastSince Aug 1, 2019 Accepting new patients

Locations

4845 Fulton Dr NW
Ste 4
Canton, OH 44718
Phone (330) 244-8782

1201 S Main St
Ste 100
North Canton, OH 44720
Phone (330) 244-8782

Organizations & group practices 2

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": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1649825399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 GRAHAM RD STE C",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211000",
            "telephone_number": "330-928-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 PENN WOOD DR",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782556",
            "telephone_number": "330-502-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "ERIKA",
        "middle_name": "CHRISTINE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2203230",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "C.1901846-TRNE",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

Verify at the official NPI Registry.