Organization Active NPI

Scott a Soeder Counseling SVCS LLC

  • Mental Health Counselor
  • University Heights, OH
National Provider Identifier
1043916109
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SCOTT A SOEDER COUNSELING SVCS LLC
Practice address
20620 John Carroll Blvd Ste 202
University Heights, OH 44118-4540
Phone
(330) 520-8343
NPI assigned
Jan 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Scott A Soeder, LPCCNPI 1669876827
Title
Owner
Phone
(330) 520-8343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

20620 John Carroll Blvd Ste 202
University Heights, OH 44118-4540

Mailing address

20620 John Carroll Blvd Ste 202
University Heights, OH 44118-4540
Phone (330) 520-8343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240329001340 OH Part B Supplier - Clinic/Group Practice 5890133631 Receives reassigned benefits from 1 practitioner
Practice locations: University Heights, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1043916109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20620 JOHN CARROLL BLVD STE 202",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441184540",
            "telephone_number": "330-520-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20620 JOHN CARROLL BLVD STE 202",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441184540",
            "telephone_number": "330-520-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A SOEDER COUNSELING SVCS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "SOEDER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-520-8343",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.