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HERITAGE CHRISTIAN COUNSELING OF SHELBY
NPI 1114700622
Social Worker - Clinical in Shelby, OH

Active since August 17, 2023
153 MANSFIELD AVE STE B, SHELBY, OH 44875(567) 844-0036 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2024, Aug 17, 2023 (2 updates tracked since 2023).

About Heritage Christian Counseling Of Shelby NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE CHRISTIAN COUNSELING OF SHELBY (NPI 1114700622) is a healthcare organization registered as a clinical in Shelby, Ohio and active in the NPI registry since August 2023. The organization maintains a secondary practice location in Mansfield and lists Jeaneen Perry, Owner, as its authorized official.

NPPES Registry Identity

NPI1114700622
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameHERITAGE CHRISTIAN COUNSELING OF SHELBY
Location Address153 MANSFIELD AVE STE BShelby, OH 44875-1832
Mailing Address153 Mansfield Ave Ste BShelby, OH 44875-1832
Phone(567) 844-0036
Organization SubpartNo
Authorized OfficialJeaneen PerryOwner · (567) 844-0036
Enumeration DateAugust 17, 2023
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1114700622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
153 MANSFIELD AVE STE B, Shelby, OH 44875
Open in Google Maps ↗

Secondary Practice Location 1

Location 11066 Lexington AveMansfield, OH 44907-2250 · Phone (419) 709-8447

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heritage Christian Counseling Of Shelby is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Heritage Christian Counseling Of Shelby, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

James Buford, LPCC-S
Mental Health Counselor
NPI 1427248723
1066 LEXINGTON AVE
Mansfield, OH 44907
(419) 709-8447
✔ PECOS11 mi
Thomas Russell, M.A., M.ED., LPCC
Mental Health Counselor
NPI 1376727446
1066 LEXINGTON AVE
Mansfield, OH 44907
(419) 709-8447
✔ PECOS11 mi
Linda Emerson, L.C.S.W.
Clinical Social Worker
NPI 1902170772
1066 LEXINGTON AVE
Mansfield, OH 44907
(419) 526-5523
✔ PECOS11 mi
Leonard Robinson, D.MIN., LPCC-S
Mental Health Counselor
NPI 1619592375
545 BAILEY DR
Mansfield, OH 44904
(419) 564-0510
✔ PECOS13 mi
Jeaneen Perry, LPC
Mental Health Counselor
NPI 1326398736
1012 ODNR MOHICAN 51
Perrysville, OH 44864
(419) 994-0300
✔ PECOS25 mi
Marirae Frankenfield, MSW
Clinical Social Worker
NPI 1649721325
5566 SANDALWOOD BLVD
Columbus, OH 43229
(419) 512-8392
✔ PECOS57 mi
Jennifer Moore, LPCC-S
Mental Health Counselor
NPI 1962669713
3535 FISHINGER BLVD STE 110
Hilliard, OH 43026
(614) 545-9773
✔ PECOS63 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heritage Christian Counseling Of Shelby's NPI number?

The NPI number for Heritage Christian Counseling Of Shelby is 1114700622. It was assigned to this organization in the NPPES registry on August 17, 2023.

Where is Heritage Christian Counseling Of Shelby located?

Heritage Christian Counseling Of Shelby is located at 153 Mansfield Ave Ste B, Shelby, OH 44875. The listed phone number is (567) 844-0036.

What is Heritage Christian Counseling Of Shelby's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Heritage Christian Counseling Of Shelby enrolled in Medicare?

Yes. Heritage Christian Counseling Of Shelby is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heritage Christian Counseling Of Shelby?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Heritage Christian Counseling Of Shelby. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (5) and Clinical Social Worker (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Heritage Christian Counseling Of Shelby accept?

Health plans from Anthem Blue Cross and Blue Shield list Heritage Christian Counseling Of Shelby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heritage Christian Counseling Of Shelby was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.