Shyla Marie Hobbs, LCDC 3

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LCDCIII.162761 Issued in OH

Practice address

5649 Hickory St
Mentor on the Lake, OH 44060-4406

Phone

(216) 849-4963

NPI assigned

Jul 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1619549656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5649 HICKORY ST",
            "city": "MENTOR ON THE LAKE",
            "state": "OH",
            "postal_code": "44060",
            "telephone_number": "216-849-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5649 HICKORY ST",
            "city": "MENTOR ON THE LAKE",
            "state": "OH",
            "postal_code": "440604406",
            "telephone_number": "216-849-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "SHYLA",
        "middle_name": "MARIE",
        "credential": "LCDC 3",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-10",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "0002565",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "LCDCIII.162761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451784",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gilbert R Garcia
• Marilyn Gowman
• Scott Henry Greenwald, LISW/LCSW
• Kristen Paige Laning Hansen, PHARMD
• Patrice Hill
• Sandra Jeanne Johnson Vettel, COTA/L
• Alescia Marie Klick, PHARMD
• Kathryn Kovach, LPN
• Jonathan Krause
• Melissa Lonchyna, R.PH., PHARM.D.

• Counselor in Mentor on the Lake, OH
• Providers in Mentor on the Lake, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.