Individual provider Active NPI

Katherine Schneeberger, LPC

  • Mental Health Counselor
  • Middleburg Heights, OH
National Provider Identifier
1053723270
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C1100171 Issued in OH
Practice address
7601 Lucerne Dr Apt A11
Middleburg Heights, OH 44130-6524
Phone
(440) 476-7084
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C1100171 OH Primary

Addresses

Primary practice location

7601 Lucerne Dr Apt A11
Middleburg Heights, OH 44130-6524

Mailing address

7601 Lucerne Dr Apt A11
Middleburg Heights, OH 44130-6524
Phone (440) 476-7084

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
C1100171OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Iceberg Counseling and Wellness, PLLC Mental Health Current 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": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1053723270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 LUCERNE DR APT A11",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306524",
            "telephone_number": "440-476-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 LUCERNE DR APT A11",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306524",
            "telephone_number": "440-476-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEEBERGER",
        "first_name": "KATHERINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C1100171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.