Individual provider Active NPI

Shirley Marie Sloan-Oberdier, PH.D., LPC

  • Professional Counselor
  • Cuyahoga Falls, OH
National Provider Identifier
1184101925
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1400498 Issued in OH
Practice address
2101 Front St Ste 215
Cuyahoga Falls, OH 44221-3251
Phone
(330) 238-7286
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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 1400498 OH Primary

Addresses

Primary practice location

2101 Front St Ste 215
Cuyahoga Falls, OH 44221-3251

Mailing address

2092 Carlile Dr
Uniontown, OH 44685-8855

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1400498OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
59 Grafton LLC PastSince Mar 30, 2025 Accepting new patients
Jen Yensel LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1184101925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2092 CARLILE DR",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FRONT ST STE 215",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213251",
            "telephone_number": "330-238-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN-OBERDIER",
        "first_name": "SHIRLEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "1400498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.