Stacey Litam, M.A., LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

#C1300473 Issued in OH

Practice address

4600 Carnegie Ave
Cleveland, OH 44103-4371

Phone

(216) 431-4600

NPI assigned

Jun 17, 2016

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

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.

• Moore Counseling & Mediation Services, Inc.

  • Professional Counselor
  • Euclid, OH
  • NPI 1235242280
  NPD (past)

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1528418878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22639 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441171622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034371",
            "telephone_number": "216-431-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITAM",
        "first_name": "STACEY",
        "credential": "M.A., LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "#C1300473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine M Listinsky, MD
• Olivia Liston
• John Russell Liszka, CNP
• David G Litaker, MD
• Patrick Litam
• Edwina Litherland
• Michael John Littau Jr., MD
• Little Acorn ABA Oh
• Little Acorn ABA Oh
• Little Diamonds Home Care Agency Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.