Individual provider Active NPI

Erin D Heid, LPCC-S

  • Professional Counselor
  • Canton, OH
National Provider Identifier
1942602164
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1800643-SUPV Issued in OH
Practice address
401 Tuscarawas St W Ste 501
Canton, OH 44702-2045
Phone
(440) 260-6466
NPI assigned
Sep 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.1800643-SUPV OH Primary

Addresses

Primary practice location

401 Tuscarawas St W Ste 501
Canton, OH 44702-2045

Mailing address

434 Eastland Rd
Berea, OH 44017-1217
Phone (440) 234-2006

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
I20240723003721 OH Practitioner - Mental Health Counselor 3678019908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
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
E.1800643-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Psychological & Counseling Centre LLC Mental Health CurrentSince May 1, 2024 Accepting new patients
Ohioguidestone Past 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": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1942602164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 EASTLAND RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171217",
            "telephone_number": "440-234-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TUSCARAWAS ST W STE 501",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447022045",
            "telephone_number": "440-260-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEID",
        "first_name": "ERIN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1800643-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.