Individual provider Active NPI

Cynthia Leano-Sellers, MED, LICDC

  • Addiction (Substance Use Disorder) Counselor
  • Rocky River, OH
National Provider Identifier
1033367008
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
991661 Issued in OH
Practice address
2639 Wooster Rd
Rocky River, OH 44116-2911
Phone
(440) 895-0366
Fax
(440) 331-2692
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 991661 OH Primary

Addresses

Primary practice location

2639 Wooster Rd
Rocky River, OH 44116-2911

Mailing address

2639 Wooster Rd
Rocky River, OH 44116-2911
Phone (440) 895-0366

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
Master of Education

State licenses

LicenseStateTypeSpecialty
991661OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1033367008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 WOOSTER RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162911",
            "telephone_number": "440-895-0366",
            "fax_number": "440-331-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 WOOSTER RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162911",
            "telephone_number": "440-895-0366",
            "fax_number": "440-331-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEANO-SELLERS",
        "first_name": "CYNTHIA",
        "credential": "MED, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "991661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.