ERIC SIERRA (LPCC) – Professional Counselor, NPI 1124683867

ERIC SIERRA (LPCC) is a healthcare provider. based in Defiance, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LPCC. They hold a License No. E.2303612 (OH). The NPI Number for ERIC SIERRA (LPCC) is 1124683867

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
ERIC SIERRA (LPCC)
NPI
1124683867
Phone
(419) 906-0939
Address
661 JEFFERSON AVE
Enumeration Date
8 May 2019
Last Update Date
26 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4195234300
Graduation Year
2011 (15 years ago)
PAC ID
3870015662
Group Practice PAC ID
0244281574
Professional Enrollment ID
I20250321000699
Address ID
OH458751216OT835XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for ERIC SIERRA (LPCC)

  • 661, Jefferson Avenue, Holgate Avenue Historic District, Williamstown, Defiance, Defiance County, Ohio, 43512, United States

    DEFIANCE, OH 435122656

    Phone: (419) 906-0939

    Type: Mailing

  • South Clinton Street, Holgate Avenue Historic District, Defiance, Defiance County, Ohio, 43512, United States

    DEFIANCE, OH 435123243

    Phone: (419) 239-2113

    Type: Location

  • 23778 WATSON RD

    DEFIANCE, OH 435128759

    Phone: (419) 906-0939

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250321000699IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43512)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244281574View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to ERIC SIERRA (LPCC)?
NPI 1124683867 is assigned to ERIC SIERRA (LPCC) under the national enumeration system.
Is ERIC SIERRA (LPCC)'s NPI currently valid?
The extract we use shows ERIC SIERRA (LPCC) as active.
Can you summarize ERIC SIERRA (LPCC)'s specialty in plain language?
Clinically, the directory lists ERIC SIERRA (LPCC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
What location metadata exists for ERIC SIERRA (LPCC)?
The page summarizes Defiance, Ohio for ERIC SIERRA (LPCC); expand the address list for detail.
Is ERIC SIERRA (LPCC) a real provider?
This page reflects official NPPES data for NPI 1124683867. Always confirm identity and privileges with the practice and licensing boards.

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