Active NPI
Elizabeth Shartle, PCC-S
- Counselor
- Cuyahoga Falls, OH
National Provider Identifier
1629385984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E0800160
- Practice address
- 141 Broad Blvd Ste 200
Cuyahoga Falls, OH 44221-3817 - Phone
- (330) 928-1000
- NPI assigned
- Sep 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C.0800160 | OH | |
| Counselor | 101Y00000X | E0800160 | OH | Primary |
Addresses
Primary practice location
141 Broad Blvd Ste 200
Cuyahoga Falls, OH 44221-3817
Mailing address
141 Broad Blvd Ste 200
Cuyahoga Falls, OH 44221-3817
Phone (330) 928-1000
Other practice location 1
365 S Portage Path
Akron, OH 44320-2325
Phone (330) 253-4597 ext. 200
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
| License | State | Type | Specialty |
|---|---|---|---|
| E0800160 | OH | MD | Counselor |
| C.0800160 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1629385984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 BROAD BLVD STE 200",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442213817",
"telephone_number": "330-928-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 BROAD BLVD STE 200",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442213817",
"telephone_number": "330-928-1000"
}
],
"practiceLocations": [
{
"address_1": "365 S Portage Path",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443202325",
"country_code": "US",
"telephone_number": "330-253-4597 x200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARTLE",
"first_name": "ELIZABETH",
"credential": "PCC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "C.0800160",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E0800160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.