Individual provider Active NPI

Alex D Shaver, LPC

  • Counselor
  • Parma, OH
National Provider Identifier
1679125116
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.2203929 Issued in OH
Practice address
5955 Ridge Rd
Parma, OH 44129-3936
Phone
(440) 888-0300
NPI assigned
Jul 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.2203929 OH Primary

Addresses

Primary practice location

5955 Ridge Rd
Parma, OH 44129-3936

Mailing address

5955 Ridge Rd
Parma, OH 44129-3936
Phone (440) 888-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250203000187 OH Practitioner - Mental Health Counselor 2567991714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2203929OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Health Services CurrentSince Nov 23, 2024 Accepting new patients
Circle Health Services CurrentSince Nov 23, 2024 Accepting new patients
Circle Health Services Counselor Past Accepting new patients
Circle Health Services Counselor Past Accepting new patients
Circle Health Services Past Accepting new patients

Locations

5209 Detroit Ave
Cleveland, OH 44102
Phone (216) 651-2037

3929 Rocky River Dr
Cleveland, OH 44111
Phone (216) 252-5800

12201 Euclid Ave
Cleveland, OH 44106
Phone (216) 373-2846

4400 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9355

4500 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9404

5955 Ridge Rd
Parma, OH 44129
Phone (440) 888-0300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1679125116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441293936",
            "telephone_number": "440-888-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441293936",
            "telephone_number": "440-888-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "ALEX",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2203929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.