Organization Active NPI

Aliza M. Prokop Counseling Services, LLC

  • Mental Health Counselor
  • Vienna, OH
National Provider Identifier
1295466639
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ALIZA M. PROKOP COUNSELING SERVICES, LLC
Practice address
5114 Ken LN
Vienna, OH 44473-9723
Phone
(330) 716-0182
NPI assigned
Jun 17, 2022
Last updated
Jun 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Aliza ProkopNPI 1457080194
Title
Owner
Phone
(330) 716-0182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

5114 Ken LN
Vienna, OH 44473-9723

Mailing address

5114 Ken LN
Vienna, OH 44473-9723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240325000048 OH Part B Supplier - Clinic/Group Practice 1850738063 Receives reassigned benefits from 1 practitioner
Practice locations: Vienna, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1295466639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 KEN LN",
            "city": "VIENNA",
            "state": "OH",
            "postal_code": "444739723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 KEN LN",
            "city": "VIENNA",
            "state": "OH",
            "postal_code": "444739723",
            "telephone_number": "330-716-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIZA M. PROKOP COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "PROKOP",
        "authorized_official_first_name": "ALIZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-716-0182"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.