Individual provider Active NPI

Harold Joseph Liller Sr., LPCC-SUP

  • Counselor
  • Boardman, OH
National Provider Identifier
1225045065
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E0002651 Issued in OH
Practice address
833 Boardman Canfield Rd
Suite 105
Boardman, OH 44512-4236
Phone
(330) 953-1964
Fax
(877) 253-7181
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC001991 PA
Counselor 101Y00000X E0002651 OH Primary

Addresses

Primary practice location

833 Boardman Canfield Rd
Suite 105
Boardman, OH 44512-4236

Mailing address

833 Boardman Canfield Rd
Suite 105
Boardman, OH 44512-4236
Phone (330) 953-1964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216001240 OH Practitioner - Mental Health Counselor 2769641240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Associates in Psychiatry, Inc.Group PAC ID 0446433791, 5 clinicians
Southwoods Counseling LLCGroup PAC ID 1355476896, 6 clinicians

Practice addresses (Care Compare)

833 Boardman Canfield Rd
Youngstown, OH 44512-4236
Phone (330) 953-1964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0002651OHMDCounselor
PC001991PAMDCounselor

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1225045065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 BOARDMAN CANFIELD RD",
            "address_2": "SUITE 105",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124236",
            "telephone_number": "330-953-1964",
            "fax_number": "877-253-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 BOARDMAN CANFIELD RD",
            "address_2": "SUITE 105",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124236",
            "telephone_number": "330-953-1964",
            "fax_number": "877-253-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLER",
        "first_name": "HAROLD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LPCC-SUP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC001991",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E0002651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.