Individual provider Active NPI

Claire A Shands-Waag, LPCC-S

  • Mental Health Counselor
  • Cleveland, OH
National Provider Identifier
1366998338
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0001608-SUPV Issued in OH
Practice address
3100 Euclid Ave
Cleveland, OH 44115-2508
Phone
(216) 361-4400
Fax
(216) 361-2340
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.0001608-SUPV OH Primary

Addresses

Primary practice location

3100 Euclid Ave
Cleveland, OH 44115-2508

Mailing address

3100 Euclid Ave
Cleveland, OH 44115-2508
Phone (216) 361-4400

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
E.0001608-SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Education Program Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pepcleve/r4/

Organizations & group practices 1

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1366998338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152508",
            "telephone_number": "216-361-4400",
            "fax_number": "216-361-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152508",
            "telephone_number": "216-361-4400",
            "fax_number": "216-361-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANDS-WAAG",
        "first_name": "CLAIRE",
        "middle_name": "A",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0001608-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.