Individual provider Active NPI

Elaine Willerton, PH.D.

  • Marriage & Family Therapist
  • Cincinnati, OH
National Provider Identifier
1003241001
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
M1200003 Issued in OH
Practice address
1080 Nimitzview Dr
Ste 303
Cincinnati, OH 45230-4314
Phone
(513) 720-5642
NPI assigned
Sep 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X M1200003 OH Primary

Addresses

Primary practice location

1080 Nimitzview Dr
Ste 303
Cincinnati, OH 45230-4314

Mailing address

1080 Nimitzview Dr
Ste 303
Cincinnati, OH 45230-4314
Phone (513) 720-5642

Other names 1

  • Claire Elaine Willerton Acosta Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
M1200003OHMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1003241001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 NIMITZVIEW DR",
            "address_2": "STE 303",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304314",
            "telephone_number": "513-720-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 NIMITZVIEW DR",
            "address_2": "STE 303",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304314",
            "telephone_number": "513-720-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLERTON",
        "first_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M1200003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "WILLERTON ACOSTA",
            "middle_name": "ELAINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.