Individual provider Active NPI

Lani Eberlein, PSY.D.

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1760448377
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3291 Issued in OH
Practice address
10921 Reed Hartman Hwy
Suite 133
Cincinnati, OH 45242-2830
Phone
(513) 984-9838
Fax
(513) 984-8075
NPI assigned
Apr 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3291 OH Primary

Addresses

Primary practice location

10921 Reed Hartman Hwy
Suite 133
Cincinnati, OH 45242-2830

Mailing address

10921 Reed Hartman Hwy
Suite 133
Cincinnati, OH 45242-2830
Phone (513) 984-9838

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3291OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Source, Inc. Past Accepting new patients

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": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1760448377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 REED HARTMAN HWY",
            "address_2": "SUITE 133",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452422830",
            "telephone_number": "513-984-9838",
            "fax_number": "513-984-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 REED HARTMAN HWY",
            "address_2": "SUITE 133",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452422830",
            "telephone_number": "513-984-9838",
            "fax_number": "513-984-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLEIN",
        "first_name": "LANI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-22",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "3291",
            "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 10, 2014; 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.