Individual provider Active NPI

Miriam Landau, PCC

  • Professional Counselor
  • Cuyahoga Falls, OH
National Provider Identifier
1023595329
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0003663 Issued in OH
Practice address
400 Meadow LN
Cuyahoga Falls, OH 44221-5030
Phone
(330) 701-9111
Fax
(866) 968-3335
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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.0003663 OH Primary

Addresses

Primary practice location

400 Meadow LN
Cuyahoga Falls, OH 44221-5030

Mailing address

400 Meadow LN
Cuyahoga Falls, OH 44221-5030
Phone (330) 701-9111

Other identifiers 1

IdentifierTypeStateIssuer
1710281001OtherOHNPI 2

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

State licenses

LicenseStateTypeSpecialty
E.0003663OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health & Wellness LLC Professional Past Accepting new patients

Organizations & group practices 1

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1023595329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEADOW LN",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442215030",
            "telephone_number": "330-701-9111",
            "fax_number": "866-968-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEADOW LN",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442215030",
            "telephone_number": "330-701-9111",
            "fax_number": "866-968-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAU",
        "first_name": "MIRIAM",
        "name_prefix": "Ms.",
        "credential": "PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0003663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 2",
            "identifier": "1710281001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.