Individual provider Active NPI

Eric Chang

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1487160347
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2102206 Issued in OH
Practice address
11438 Lebanon Rd Unit J
Cincinnati, OH 45241-6201
Phone
(513) 486-4658
Fax
(513) 434-6325
NPI assigned
Dec 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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 E.2102206 OH Primary

Addresses

Primary practice location

11438 Lebanon Rd Unit J
Cincinnati, OH 45241-6201

Mailing address

11438 Lebanon Rd Unit J
Cincinnati, OH 45241-6201
Phone (513) 486-4658

Other practice location 1

230 William Howard Taft Rd
Cincinnati, OH 45219-2611
Phone (513) 486-4658

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.2102206OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TG Counseling LLC Professional CurrentSince Aug 23, 2020 Accepting new patients

Locations

220 William Howard Taft Rd
Cincinnati, OH 45219
Phone (330) 867-5603

11438 Lebanon Rd
Unit J
Cincinnati, OH 45241
Phone (513) 486-4658

230 William Howard Taft Rd
Cincinnati, OH 45219
Phone (513) 486-4658

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": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1487160347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11438 LEBANON RD UNIT J",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452416201",
            "telephone_number": "513-486-4658",
            "fax_number": "513-434-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11438 LEBANON RD UNIT J",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452416201",
            "telephone_number": "513-486-4658",
            "fax_number": "513-434-6325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 William Howard Taft Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192611",
            "country_code": "US",
            "telephone_number": "513-486-4658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-14",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2102206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.