Daniel S Libstorff, PCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E0004149 Issued in OH

Practice address

7757 Central Parke BVLD
Suite 225
Mason, OH 45040

Phone

(513) 288-8815

Fax

(513) 229-8963

NPI assigned

Aug 15, 2012

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Counseling Resource Center of Mason, LLC

  • Community/Behavioral Health Agency
  • Mason, OH
  • NPI 1023362431
  NPD (past) Authorized official

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1528316031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 EAGLE CREEK CT",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450397200",
            "telephone_number": "513-288-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7757 CENTRAL PARKE BVLD",
            "address_2": "SUITE 225",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-288-8815",
            "fax_number": "513-229-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBSTORFF",
        "first_name": "DANIEL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PCC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0004149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.