Individual provider Active NPI

Peter Courlas, LISW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1245301738
Registry record updated Feb 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I146 Issued in OH
Practice address
2727 Madison Rd
Ste 303
Cincinnati, OH 45209-2271
Phone
(513) 502-6868
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I146 OH Primary

Addresses

Primary practice location

2727 Madison Rd
Ste 303
Cincinnati, OH 45209-2271

Mailing address

900 Adams Xing
Ste 10700
Cincinnati, OH 45202-1682
Phone (513) 502-6868

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
I20090615000115 OH Practitioner - Clinical Social Worker 1658421672 Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I146OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adrienne a Cenci CurrentSince Nov 8, 2025 Accepting new patients
Psychiatric Professional Services Past Accepting new patients

Locations

2727 Madison Rd
Ste 303
Cincinnati, OH 45209
Phone (513) 381-6300

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612569600000",
    "number": "1245301738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ADAMS XING",
            "address_2": "STE 10700",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021682",
            "telephone_number": "513-502-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MADISON RD",
            "address_2": "STE 303",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452092271",
            "telephone_number": "513-502-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURLAS",
        "first_name": "PETER",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.