Active NPI
Elyssa J Berman, M.A.ED,L.P.P.C.
- Mental Health Counselor
- Beachwood, OH
National Provider Identifier
1083861405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.0800138
- Practice address
- 23250 Chagrin Blvd
Suite 425
Beachwood, OH 44122-5470 - Phone
- (216) 464-4243
- Fax
- (216) 595-8210
- NPI assigned
- Aug 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | E.0800138 | OH | Primary |
Addresses
Primary practice location
23250 Chagrin Blvd
Suite 425
Beachwood, OH 44122-5470
Mailing address
23250 Chagrin Blvd
Suite 425
Beachwood, OH 44122-5470
Phone (216) 464-4243
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
| License | State | Type | Specialty |
|---|---|---|---|
| E.0800138 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellen F. Casper, PH.D. and Associates | Mental Health | Past | 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": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1083861405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23250 CHAGRIN BLVD",
"address_2": "SUITE 425",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225470",
"telephone_number": "216-464-4243",
"fax_number": "216-595-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23250 CHAGRIN BLVD",
"address_2": "SUITE 425",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225470",
"telephone_number": "216-464-4243",
"fax_number": "216-595-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "ELYSSA",
"middle_name": "J",
"credential": "M.A.ED,L.P.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.0800138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.