Active NPI
Brittany Elizabeth Corcoran, LPCC
- Professional Counselor
- Moraine, OH
National Provider Identifier
1710257654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1000342
- Practice address
- 3490 S Dixie Dr
Suite 210
Moraine, OH 45439-2324 - Phone
- (937) 689-2958
- NPI assigned
- Jan 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.1000342 | OH | Primary |
Addresses
Primary practice location
3490 S Dixie Dr
Suite 210
Moraine, OH 45439-2324
Mailing address
227 W Walnut St
Tipp City, OH 45371-1851
Phone (937) 689-2958
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
| License | State | Type | Specialty |
|---|---|---|---|
| E.1000342 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1710257654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 W WALNUT ST",
"city": "TIPP CITY",
"state": "OH",
"postal_code": "453711851",
"telephone_number": "937-689-2958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3490 S DIXIE DR",
"address_2": "SUITE 210",
"city": "MORAINE",
"state": "OH",
"postal_code": "454392324",
"telephone_number": "937-689-2958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORCORAN",
"first_name": "BRITTANY",
"middle_name": "ELIZABETH",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-10",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1000342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.