Individual provider Active NPI

Christina Shrader, MS, LPCC, LPC, NCC

  • Mental Health Counselor
  • Florence, KY
National Provider Identifier
1659879559
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
270713 Issued in KY
Practice address
71 Cavalier Blvd Ste 113
Florence, KY 41042
Phone
(859) 918-5819
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1801082 OH
Mental Health Counselor 101YM0800X 240038 KY
Mental Health Counselor 101YM0800X 270713 KY Primary

Addresses

Primary practice location

71 Cavalier Blvd Ste 113
Florence, KY 41042

Mailing address

71 Cavalier Blvd Ste 113
Florence, KY 41042-5167
Phone (859) 918-5819

Other practice location 1

2347 Vine St
Cincinnati, OH 45219-1745
Phone (513) 357-4602

Other practice location 2

2347 Vine St
Cincinnati, OH 45219-1745
Phone (513) 357-4602

Other practice location 3

2347 Vine St
Cincinnati, OH 45219-1745
Phone (513) 357-4602

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
240038KYMDMental Health Counselor
270713KYMDMental Health Counselor
C.1801082OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1659879559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CAVALIER BLVD STE 113",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410425167",
            "telephone_number": "859-918-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CAVALIER BLVD STE 113",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-918-5819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2347 Vine St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452191745",
            "country_code": "US",
            "telephone_number": "513-357-4602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2347 Vine St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452191745",
            "country_code": "US",
            "telephone_number": "513-357-4602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2347 Vine St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452191745",
            "country_code": "US",
            "telephone_number": "513-357-4602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRADER",
        "first_name": "CHRISTINA",
        "credential": "MS, LPCC, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1801082",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "240038",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "270713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.