Individual provider Active NPI

Denise Eslinger, LPCC-S, LSW, NCSP

  • Professional Counselor
  • Mantua, OH
National Provider Identifier
1346651965
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0002637-SUPV Issued in OH
Practice address
10312 Elliman Rd
Mantua, OH 44255-9482
Phone
(440) 476-6636
Fax
(440) 748-7016
NPI assigned
May 16, 2014
Last updated
May 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0002637-SUPV OH Primary
School Psychologist 103TS0200X
Social Worker 104100000X S-001713 OH

Addresses

Primary practice location

10312 Elliman Rd
Mantua, OH 44255-9482

Mailing address

10312 Elliman Rd
Mantua, OH 44255
Phone (440) 476-6636

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

LicenseStateTypeSpecialty
E0002637-SUPVOHMDProfessional Counselor
S-001713OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1346651965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10312 ELLIMAN RD",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "44255",
            "telephone_number": "440-476-6636",
            "fax_number": "440-748-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10312 ELLIMAN RD",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "442559482",
            "telephone_number": "440-476-6636",
            "fax_number": "440-748-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESLINGER",
        "first_name": "DENISE",
        "credential": "LPCC-S, LSW, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0002637-SUPV",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S-001713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mantua, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.