Ebony Stutson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.2002549 Issued in OH

Practice address

11156 Canal Rd Ste a
Cincinnati, OH 45241-5816

Phone

(513) 772-6166

Fax

(513) 772-6177

NPI assigned

Oct 14, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ebonystutson@tdh.allscriptsdirect.net

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.

• Elimu Kuponya LLC

  • Mental Health Counselor
  • Cincinnati, OH
  • NPI 1962127266
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Counselor

  NPD

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1114237989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11156 CANAL RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452415816",
            "telephone_number": "513-772-6166",
            "fax_number": "513-772-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11156 CANAL RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452415816",
            "telephone_number": "513-772-6166",
            "fax_number": "513-772-6177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6881 Beechmont Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452302907",
            "country_code": "US",
            "telephone_number": "513-233-4808",
            "fax_number": "513-230-2838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUTSON",
        "first_name": "EBONY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2002549",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2002549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter F. Sturm, M.D.
• Robert Carl Sturm III, MD
• James Edward Sturmi III, M.D.
• Keren B Sturtz, MD
• Rebecca Stutler, DPT
• Janaia Stutson, LPN
• Hudson Lee Stutz
• Samantha P Stutz, LPCC
• Courtney M Styres, M.B.B.S.
• Erik Chen Su, M.D.

• Mental Health Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.