Individual provider Active NPI

Edward Jerome Gutfreund Jr., P.C., LMT

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1669526356
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C7544 Issued in OH
Practice address
951 W North Bend Rd Ste A3
Cincinnati, OH 45224-2240
Phone
(513) 681-2122
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C7544 OH Primary

Addresses

Primary practice location

951 W North Bend Rd Ste A3
Cincinnati, OH 45224-2240

Mailing address

5081 Wooden Shoe Hollow Dr
Cincinnati, OH 45232-1627
Phone (513) 542-2055

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
C7544OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669526356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5081 WOODEN SHOE HOLLOW DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452321627",
            "telephone_number": "513-542-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 W NORTH BEND RD STE A3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452242240",
            "telephone_number": "513-681-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTFREUND",
        "first_name": "EDWARD",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.C., LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C7544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.