Individual provider Active NPI

Heather Sue Mong, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, OH
National Provider Identifier
1831964741
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0035432 Issued in OH
Practice address
236 3Rd St SW
Canton, OH 44702-1607
Phone
(330) 754-4431
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0035432 OH Primary

Addresses

Primary practice location

236 3Rd St SW
Canton, OH 44702-1607

Mailing address

236 3Rd St SW
Canton, OH 44702-1607
Phone (330) 268-6229

Other names 1

  • Heather Sue Mong Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220003143 OH Practitioner - Nurse Practitioner 5698119469 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Healthy Mind Providers, LLCGroup PAC ID 8921448309, 7 clinicians
Ascendence Health Services LLCGroup PAC ID 2961900097, 5 clinicians

Practice addresses (Care Compare)

236 3Rd St SW
Canton, OH 44702-1607
Phone (330) 754-4431

3100 E 45TH St
Suite 428
Cleveland, OH 44127-1095
Phone (216) 269-7880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0035432OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Healthy Mind Providers, LLC Psychiatric/Mental Health CurrentSince Jun 8, 2025 Accepting new patients
Pai Participant 1 LLC CurrentSince Mar 2, 2025 Accepting new patients
Avo Behavioral Health LLC Current Accepting new patients
Avo Behavioral Health LLC CurrentSince Jan 1, 2024 Accepting new patients
Pinnacle Care Providers, LLC CurrentSince Mar 31, 2025 Accepting new patients

Locations

3745 Whipple Ave NW
Canton, OH 44718
Phone (330) 331-7506

3745 Whipple Ave NW
Ste A
Canton, OH 44718
Phone (330) 331-7506

236 3rd St SW
Canton, OH 44702
Phone (330) 754-4431

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

Organizations & group practices 7

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1831964741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 3RD ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021607",
            "telephone_number": "330-268-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 3RD ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021607",
            "telephone_number": "330-754-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONG",
        "first_name": "HEATHER",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0035432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MONG",
            "middle_name": "SUE",
            "credential": "HEATHER HARSH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.