Individual provider Active NPI

Elizabeth Shartle, PCC-S

  • Counselor
  • Cuyahoga Falls, OH
National Provider Identifier
1629385984
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E0800160 Issued in OH
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
E0800160OHMDCounselor
C.0800160OHMDAddiction (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.

Verify at the official NPI Registry.