Stacy Lee Landesberg, M.ED., PCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E3969 Issued in OH

Practice address

311 Albert Sabin Way
Cincinnati, OH 45229-2838

Phone

(513) 558-6649

Fax

(513) 558-3100

NPI assigned

Sep 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249603200000",
    "number": "1053414391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8323 ARBORCREST DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361403",
            "telephone_number": "513-792-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ALBERT SABIN WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292838",
            "telephone_number": "513-558-6649",
            "fax_number": "513-558-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDESBERG",
        "first_name": "STACY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "M.ED., PCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2009-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E3969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Landau, OCPSA
• Brandi Landers
• Makenna Fay Landers
• Tori Lynn Landers
• Carrie Elizabeth Landes, CNP
• Michael Landesman
• Conrad Thomas Landing, PHYSICAL THERAPIST
• Susan Lee Landis
• Tabbitha Landis
• Tonya Landis, RN

• Professional Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.