| Heritage Christian Counseling Ministries, Inc. | |
|
1066 Lexington Avenue Mansfield OH 44907 | |
| (419) 526-5523 | |
| (419) 526-5525 |
| Full Name | Heritage Christian Counseling Ministries, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1066 Lexington Avenue, Mansfield, Ohio |
| Authorized Official Name and Position | Tyler Smith (OWNER) |
| Authorized Official Contact | 7405043351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Christian Counseling Ministries, Inc. 1066 Lexington Avenue Mansfield OH 44907 Ph: (740) 504-3351 | Heritage Christian Counseling Ministries, Inc. 1066 Lexington Avenue Mansfield OH 44907 Ph: (419) 526-5523 |
| NPI Number | 1730247800 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Medicare PECOS PAC ID | 5294059762 |
|---|---|
| Medicare Enrollment ID | O20150112001209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730247800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E3714 (Ohio) | Primary |
| Provider Name | Jennifer Heichel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285855593 PECOS PAC ID: 0547423618 Enrollment ID: I20120530000228 |
| Provider Name | Linda V Emerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902170772 PECOS PAC ID: 8527215136 Enrollment ID: I20131223001366 |
| Provider Name | Marirae C Frankenfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649721325 PECOS PAC ID: 9638592439 Enrollment ID: I20200713002533 |
| Provider Name | James Buford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427248723 PECOS PAC ID: 0749623866 Enrollment ID: I20240206001997 |
| Provider Name | Leonard Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619592375 PECOS PAC ID: 0749624393 Enrollment ID: I20240222000562 |
| Provider Name | Leah Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346790359 PECOS PAC ID: 3375983158 Enrollment ID: I20240426001040 |
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