Individual provider Active NPI

Tina Louise Scharenberg, BS IN HUMAN SERVICES

  • Behavior Analyst
  • Washington Court House, OH
National Provider Identifier
1386371029
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1400 US RT 22 NW
US Rte 22 NW
Washington Court House, OH 43160
Phone
(740) 335-7282
Fax
(740) 335-6802
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X
Behavior Technician 106S00000X OH
Health & Wellness Coach 171400000X
Case Manager/Care Coordinator 171M00000X
Research Study Abstracter/Coder 1744R1103X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1400 US RT 22 NW
US Rte 22 NW
Washington Court House, OH 43160

Mailing address

1400 US RT
US Rte 22 NW
Washington Court House, OH 43160
Phone (740) 335-7282

Other identifiers 1

IdentifierTypeStateIssuer
RN666365OtherOHDRIVER'S LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tscharenberg@cacfayettecounty.org Direct
Direct Messaging Address tscharenberg@cacfayettecounty.org Direct

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
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Group Home, LLC Past Accepting new patients
Phoenix Group Home, LLC Past Accepting new patients

Interoperability endpoints

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

Organizations & group practices 2

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1386371029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 US RT",
            "address_2": "US RTE 22 NW",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "43160",
            "telephone_number": "740-335-7282",
            "fax_number": "740-335-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 US RT 22 NW",
            "address_2": "US RTE 22 NW",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "43160",
            "telephone_number": "740-335-7282",
            "fax_number": "740-335-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARENBERG",
        "first_name": "TINA",
        "middle_name": "LOUISE",
        "credential": "BS IN HUMAN SERVICES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744R1103X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Data Abstracter/Coder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "RN666365",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tscharenberg@cacfayettecounty.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1400 US RT 22 NW",
            "city": "Washington Court House",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tscharenberg@cacfayettecounty.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1400 US RT 22 NW",
            "city": "Washington Court House",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.