Organization Active NPI

Heal and Reset Therapy PLLC

  • Counseling Psychologist
  • Erie, PA
National Provider Identifier
1710836739
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
HEAL AND RESET THERAPY PLLC
Practice address
502 W 7TH St Ste 100
Erie, PA 16502-1333
Phone
(267) 603-3202
NPI assigned
Jan 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Ajabeyang Amin, PSYDNPI 1881200061
Title
Owner
Phone
(267) 603-3202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

502 W 7TH St Ste 100
Erie, PA 16502-1333

Mailing address

113 N 50TH St Apt 2
Philadelphia, PA 19139-2786
Phone (267) 603-3202

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1710836739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N 50TH ST APT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191392786",
            "telephone_number": "267-603-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W 7TH ST STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021333",
            "telephone_number": "267-603-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL AND RESET THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "AJABEYANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-603-3202",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.