Individual provider Active NPI

Julie Marie Minarczik, MA, PCC

  • Professional Counselor
  • Sheffield Village, OH
National Provider Identifier
1306000633
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0500922 Issued in OH
Practice address
5334 Meadow Lane CT
Sheffield Village, OH 44035-1469
Phone
(440) 934-8992
Fax
(440) 934-8938
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0500922 OH Primary

Addresses

Primary practice location

5334 Meadow Lane CT
Sheffield Village, OH 44035-1469

Mailing address

5334 Meadow Lane CT
Sheffield Village, OH 44035-1469
Phone (440) 934-8992

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E0500922OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1306000633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 MEADOW LANE CT",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351469",
            "telephone_number": "440-934-8992",
            "fax_number": "440-934-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 MEADOW LANE CT",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351469",
            "telephone_number": "440-934-8992",
            "fax_number": "440-934-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINARCZIK",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0500922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.