Stephanie M Cerula, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1500179 Issued in OH

Practice address

8224 Mentor Ave
Suite 208
Mentor, OH 44060-5768

Phone

(440) 392-2222

Fax

(440) 565-2349

NPI assigned

Aug 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Glovan Pollak and Associates LLC

  • Clinical Psychologist
  • Mentor, OH
  • NPI 1467872689
  Medicare reassignment NPD

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1437604741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8224 MENTOR AVE",
            "address_2": "SUITE 208",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605768",
            "telephone_number": "440-392-2222",
            "fax_number": "440-565-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 MENTOR AVE",
            "address_2": "SUITE 208",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605768",
            "telephone_number": "440-392-2222",
            "fax_number": "440-565-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERULA",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1500179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Dialysis Care Home Care, LTD.
• Center for Molecular Cancer Diagnostics, Inc
• Jacqueline Macy Cerar, D.D.S.
• Laura Anne Cernosky I, LISW-S
• Norman J Cerny Jr., LSW
• Francesca Cerutti
• Lori Cervella, LPN
• Rebecca Cervenka, LPC, ATR
• Michelle M Chaffee, STNA/CNA
• Sharon L. Chaffee, MD

• Professional Counselor in Mentor, OH
• Providers in Mentor, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.