Individual provider Active NPI

Edith Ciotola Schroeder, M.S

  • Professional Counselor
  • Youngstown, OH
National Provider Identifier
1124157805
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C0004372 Issued in OH
Practice address
5500 Market St
Suite 90
Youngstown, OH 44512-2601
Phone
(330) 782-7701
Fax
(330) 782-8785
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C0004372 OH Primary

Addresses

Primary practice location

5500 Market St
Suite 90
Youngstown, OH 44512-2601

Mailing address

77 Marion Dr
Poland, OH 44514-3725
Phone (330) 757-3022

Other names 1

  • Ms. Edith Mary Ciotola Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C0004372OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Psychological & Counseling Services Inc Past Accepting new patients
Cope Treatment Centers in Past Accepting new patients

Organizations & group practices 2

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124157805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MARION DR",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143725",
            "telephone_number": "330-757-3022",
            "fax_number": "330-782-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MARKET ST",
            "address_2": "SUITE 90",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445122601",
            "telephone_number": "330-782-7701",
            "fax_number": "330-782-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "EDITH",
        "middle_name": "CIOTOLA",
        "name_prefix": "Ms.",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C0004372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "CIOTOLA",
            "middle_name": "MARY",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.