Individual provider Active NPI

Cynthia A Zeisler, LPCC-S

  • Mental Health Counselor
  • Poland, OH
National Provider Identifier
1689983470
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E2183 Issued in OH
Practice address
2359 Knollwood Ave
Poland, OH 44514-1525
Phone
(330) 942-1371
NPI assigned
Sep 28, 2010
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.0002183 OH
Mental Health Counselor 101YM0800X E2183 OH Primary

Addresses

Primary practice location

2359 Knollwood Ave
Poland, OH 44514-1525

Mailing address

2359 Knollwood Ave
Poland, OH 44514-1525
Phone (330) 942-1371

Other practice location 1

725 Boardman Canfield Rd Bldg M
Youngstown, OH 44512-4380
Phone (330) 330-8655

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
I20231204001158 OH Practitioner - Mental Health Counselor 4880042779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rajendra P Koirala, M.D., LLCGroup PAC ID 8820334931, 23 clinicians

Practice addresses (Care Compare)

725 Boardman Canfield Rd
Suite L1
Boardman, OH 44512-4370
Phone (330) 330-8655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.0002183OHMDMental Health Counselor
E2183OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Strength-Based Services CurrentSince Jun 4, 2023 Accepting new patients
Rajendra P Koirala, M.D., LLC CurrentSince Jan 1, 2024 Accepting new patients
Rajendra P Koirala, M.D., LLC PastSince Dec 13, 2022 Accepting new patients
Travco Behavioral Health, Inc. Past Accepting new patients

Locations

333 N Middle St
Columbiana, OH 44408
Phone (330) 482-5355

16 Evans Ave
Youngstown, OH 44515
Phone (330) 330-8655

725 Boardman Canfield Rd
Ste L1
Youngstown, OH 44512
Phone (330) 330-8655

725 Boardman Canfield Rd
Ste M
Youngstown, OH 44512
Phone (330) 330-8655

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1689983470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 KNOLLWOOD AVE",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141525",
            "telephone_number": "330-942-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 KNOLLWOOD AVE",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141525",
            "telephone_number": "330-942-1371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Boardman Canfield Rd Bldg M",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445124380",
            "country_code": "US",
            "telephone_number": "330-330-8655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEISLER",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0002183",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E2183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

Verify at the official NPI Registry.