Individual provider Active NPI

Stella Y. Hshieh, ED.D.

  • Counseling Psychologist
  • Canal Fulton, OH
National Provider Identifier
1174615561
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
5163 Issued in OH
Practice address
1724 Bruce St
Canal Fulton, OH 44614-9313
Phone
(330) 854-5503
Fax
(330) 854-5603
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X 5163 OH
Clinical Psychologist 103TC0700X 5163 OH
Counseling Psychologist 103TC1900X 5163 OH Primary

Addresses

Primary practice location

1724 Bruce St
Canal Fulton, OH 44614-9313

Mailing address

PO Box 369
Canal Fulton, OH 44614-0369
Phone (330) 854-5503

Other identifiers 1

IdentifierTypeStateIssuer
2028255MedicaidOH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5163OHMDAdult Development & Aging Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174615561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446140369",
            "telephone_number": "330-854-5503",
            "fax_number": "330-854-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 BRUCE ST",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446149313",
            "telephone_number": "330-854-5503",
            "fax_number": "330-854-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSHIEH",
        "first_name": "STELLA",
        "middle_name": "Y.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "OH",
            "license": "5163",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5163",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "5163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028255",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Fulton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.