Individual provider Active NPI

Amy Sheeran, LPC

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1699293365
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C1400088 Issued in OH
Practice address
5400 Edalbert Dr
Cincinnati, OH 45239-7604
Phone
(513) 741-3100
Fax
(513) 741-5686
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
No

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
Mental Health Counselor 101YM0800X C1400088 OH
Professional Counselor 101YP2500X C1400088 OH Primary

Addresses

Primary practice location

5400 Edalbert Dr
Cincinnati, OH 45239-7604

Mailing address

4120 Georgetown Rd
Blue Ash, OH 45236-1045
Phone (513) 614-9625

Other practice location 1

9600 Colerain Ave Ste 410
Cincinnati, OH 45251-2016
Phone (513) 614-9625

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
I20250116002406 OH Practitioner - Mental Health Counselor 1456889583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9600 Colerain Ave
Suite 410
Cincinnati, OH 45251-2016
Phone (513) 614-9625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C1400088OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Sheeran LLC Mental Health CurrentSince Dec 11, 2024 Accepting new patients

Locations

9600 Colerain Ave
Ste 410
Cincinnati, OH 45251
Phone (513) 385-4333

Organizations & group practices 1

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": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699293365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 GEORGETOWN RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452361045",
            "telephone_number": "513-614-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 EDALBERT DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397604",
            "telephone_number": "513-741-3100",
            "fax_number": "513-741-5686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 Colerain Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452512016",
            "country_code": "US",
            "telephone_number": "513-614-9625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEERAN",
        "first_name": "AMY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C1400088",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C1400088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.