Individual provider Active NPI

Shelby Marozsan, LPCC-S

  • Mental Health Counselor
  • Westlake, OH
National Provider Identifier
1538720727
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2102522-SUPV Issued in OH
Practice address
24500 Center Ridge Rd Ste 200
Westlake, OH 44145-5630
Phone
(440) 201-4488
Fax
(440) 385-7019
NPI assigned
Jun 27, 2019
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.2102522-SUPV OH Primary

Addresses

Primary practice location

24500 Center Ridge Rd Ste 200
Westlake, OH 44145-5630

Mailing address

24500 Center Ridge Rd Ste 200
Westlake, OH 44145-5630
Phone (440) 201-4488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2024 through Jan 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.2102522-SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Cle Counseling LLC Counselor CurrentSince Jul 21, 2024 Accepting new patients

Locations

24500 Center Ridge Rd
Ste 200
Westlake, OH 44145
Phone (440) 201-4488

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1538720727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24500 CENTER RIDGE RD STE 200",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455630",
            "telephone_number": "440-201-4488",
            "fax_number": "440-385-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24500 CENTER RIDGE RD STE 200",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455630",
            "telephone_number": "440-201-4488",
            "fax_number": "440-385-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROZSAN",
        "first_name": "SHELBY",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2102522-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.