Individual provider Active NPI

Hillary Schultz, P.C.C.-S

  • Professional Counselor
  • Beachwood, OH
National Provider Identifier
1073981635
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E4260 Issued in OH
Practice address
3681 Green Rd Ste 404
Beachwood, OH 44122-5716
Phone
(216) 342-5484
Fax
(216) 450-1126
NPI assigned
Sep 11, 2015
Reactivated
Apr 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E4260 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X E4260 OH
Mental Health Counselor 101YM0800X E4260 OH
Professional Counselor 101YP2500X E4260 OH Primary

Addresses

Primary practice location

3681 Green Rd Ste 404
Beachwood, OH 44122-5716

Mailing address

3681 Green Rd Ste 404
Beachwood, OH 44122-5716
Phone (216) 342-5484

Other identifiers 1

IdentifierTypeStateIssuer
0222270MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hillary@schultztherapy.com Direct
Direct Messaging Address hillary@schultztherapy.com Direct

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
E4260OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hillary Schultz Therapy Counselor CurrentSince Sep 20, 2020 Accepting new patients

Locations

23215 Commerce Park
Ste 201
Beachwood, OH 44122

3681 Green Rd
Ste 404
Shaker Heights, OH 44122
Phone (216) 342-5484

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": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1073981635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 GREEN RD STE 404",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225716",
            "telephone_number": "216-342-5484",
            "fax_number": "216-450-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681 GREEN RD STE 404",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225716",
            "telephone_number": "216-342-5484",
            "fax_number": "216-450-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "HILLARY",
        "credential": "P.C.C.-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "deactivation_date": "2016-03-15",
        "reactivation_date": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E4260",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E4260",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E4260",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E4260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0222270",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hillary@schultztherapy.com",
            "affiliation": "N",
            "endpointDescription": "direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3681 Green Rd Ste 404",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441225716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hillary@schultztherapy.com",
            "affiliation": "N",
            "endpointDescription": "direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct messaging",
            "address_1": "3681 Green Rd Ste 404",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441225716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.