Individual provider Active NPI

Christopher Robert Stahr, LICDC, LISW

  • Clinical Social Worker
  • Westlake, OH
National Provider Identifier
1235750241
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405182 Issued in OH
Practice address
26220 Center Ridge Rd
Westlake, OH 44145-4016
Phone
(440) 782-1872
NPI assigned
Apr 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 169912 OH
Social Worker 104100000X S.2001335-TRNE OH
Social Worker 104100000X S.2106261 OH
Clinical Social Worker 1041C0700X I.2405182 OH Primary

Addresses

Primary practice location

26220 Center Ridge Rd
Westlake, OH 44145-4016

Mailing address

26220 Center Ridge Rd
Westlake, OH 44145-4016

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
I20241206002207 OH Practitioner - Clinical Social Worker 5698201176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
169912OHMDAddiction (Substance Use Disorder) Counselor
S.2001335-TRNEOHMDSocial Worker
S.2106261OHMDSocial Worker
I.2405182OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Counsel Therapy and Consulting LLC Clinical CurrentSince Sep 27, 2024 Accepting new patients

Locations

26220 Center Ridge Rd
Westlake, OH 44145
Phone (216) 350-0332

Organizations & group practices 1

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": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1235750241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26220 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26220 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454016",
            "telephone_number": "440-782-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHR",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBERT",
        "credential": "LICDC, LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "169912",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2001335-TRNE",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2106261",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.