Active NPI
Margery J Shupe, EDD, LPCC
- Mental Health Counselor
- Cincinnati, OH
National Provider Identifier
1265583009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E0002995
- Practice address
- 4240 Hunt Rd
Cincinnati, OH 45242-6612 - Phone
- (513) 891-0650
- Fax
- (513) 891-2838
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E0002995 | OH | Primary |
Addresses
Primary practice location
4240 Hunt Rd
Cincinnati, OH 45242-6612
Mailing address
4240 Hunt Rd
Cincinnati, OH 45242-6612
Phone (513) 891-0650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000212863 | Other | OH | ANTHEM PROVIDER NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0002995 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265583009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4240 HUNT RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452426612",
"telephone_number": "513-891-0650",
"fax_number": "513-891-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4240 HUNT RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452426612",
"telephone_number": "513-891-0650",
"fax_number": "513-891-2838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUPE",
"first_name": "MARGERY",
"middle_name": "J",
"credential": "EDD, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0002995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000212863",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.